Individual provider Active NPI

Edward Benjamin Weisbein, JD, LMHC, LPC, MCAP

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1497428825
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19685 Issued in FL
Practice address
4799 Via Palm LKS Apt 1605
West Palm Beach, FL 33417-2730
Phone
(215) 901-0176
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012493 PA
Mental Health Counselor 101YM0800X MH19685 FL Primary

Addresses

Primary practice location

4799 Via Palm LKS Apt 1605
West Palm Beach, FL 33417-2730

Mailing address

4799 Via Palm LKS Apt 1605
West Palm Beach, FL 33417-2730
Phone (215) 901-0176

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
MH19685FLMDMental Health Counselor
PC012493PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1497428825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 VIA PALM LKS APT 1605",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172730",
            "telephone_number": "215-901-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 VIA PALM LKS APT 1605",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172730",
            "telephone_number": "215-901-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBEIN",
        "first_name": "EDWARD",
        "middle_name": "BENJAMIN",
        "credential": "JD, LMHC, LPC, MCAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.