Active NPI
Taryn Johanna Weiler, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Libertyville, IL
National Provider Identifier
1487469771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209031628
- Practice address
- 1117 S Milwaukee Ave Ste B14
Libertyville, IL 60048-5258 - Phone
- (847) 212-3570
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209031628 | IL | Primary |
Addresses
Primary practice location
1117 S Milwaukee Ave Ste B14
Libertyville, IL 60048-5258
Mailing address
1117 S Milwaukee Ave Ste B14
Libertyville, IL 60048-5258
Phone (847) 212-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031628 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Minds BH LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1117 S Milwaukee Ave
Ste B14
Libertyville, IL 60048
Phone (224) 234-9299
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Libertyville, IL
- NPI 1609769017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1487469771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 S MILWAUKEE AVE STE B14",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485258",
"telephone_number": "847-212-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 S MILWAUKEE AVE STE B14",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485258",
"telephone_number": "847-212-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILER",
"first_name": "TARYN",
"middle_name": "JOHANNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209031628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.