Jesse Roberta Smith Weisel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH20047 Issued in FL

Practice address

PO Box 560473
Rockledge, FL 32956-0473

Phone

(678) 622-6844

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jesse Roberta Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1457693194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560473",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560473",
            "telephone_number": "678-622-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 560473",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560473",
            "telephone_number": "678-622-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Pineda Plaza Way Ste 107",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407306",
            "country_code": "US",
            "telephone_number": "321-209-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISEL",
        "first_name": "JESSE",
        "middle_name": "ROBERTA SMITH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005544",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH20047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "SMITH",
            "middle_name": "ROBERTA",
            "credential": "LPC, LMHC, BC-DMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Shane Webb
• Andrea K Webber, PA
• Richard J Weber, M.D.
• Jessica Webster, LCPC
• Christy Wedsmark
• Sherry Welch, MA, LMHC
• Dee Dee Wells
• Sarah C Wescott, RBT
• Patricia Sue Wesley, D.C.
• Elizabeth Wester, LCSW

• Professional Counselor in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.