Individual provider Active NPI

John Julius Weimann III, LMHC

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1528230216
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9418 Issued in FL
Practice address
1407 Dixon Blvd
Cocoa, FL 32922-6411
Phone
(321) 452-0800
Fax
(321) 394-0385
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 9418 FL Primary

Addresses

Primary practice location

1407 Dixon Blvd
Cocoa, FL 32922-6411

Mailing address

1407 Dixon Blvd
Cocoa, FL 32922-6411
Phone (321) 452-0800

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

LicenseStateTypeSpecialty
MH 9418FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crosswinds Youth Services, Inc. Past Accepting new patients
Crosswinds Youth Services Past Accepting new patients

Organizations & group practices 2

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1528230216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800",
            "fax_number": "321-394-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800",
            "fax_number": "321-394-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMANN",
        "first_name": "JOHN",
        "middle_name": "JULIUS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.