Individual provider Active NPI

Hannah Marie Weiss, LPC-IT, CSW

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1497477574
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7113226 Issued in WI
Practice address
4785 Hayes Rd Ste 201
Madison, WI 53704-7364
Phone
(608) 400-5116
Fax
(608) 630-8089
NPI assigned
Sep 14, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 7113226 WI
Mental Health Counselor 101YM0800X 7113226 WI Primary

Addresses

Primary practice location

4785 Hayes Rd Ste 201
Madison, WI 53704-7364

Mailing address

1706 Lake Point Dr Apt 101
Madison, WI 53713-1723
Phone (920) 627-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001764 WI Practitioner - Mental Health Counselor 5991143505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greyley Wellness LLCGroup PAC ID 2860823036, 3 clinicians

Practice addresses (Care Compare)

2010 Eastwood Dr
Suite 300
Madison, WI 53704-5387
Phone (608) 509-9287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7113226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greyley Wellness LLC Mental Health CurrentSince Mar 18, 2024 Accepting new patients

Locations

2010 Eastwood Dr
Ste 300
Madison, WI 53704
Phone (608) 509-9287

4785 Hayes Rd
Ste 201
Madison, WI 53704
Phone (608) 400-5116

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1497477574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 LAKE POINT DR APT 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131723",
            "telephone_number": "920-627-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 HAYES RD STE 201",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537047364",
            "telephone_number": "608-400-5116",
            "fax_number": "608-630-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC-IT, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7113226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7113226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.