Individual provider Active NPI

Corey William Weir, L.C.P.C.

  • Professional Counselor
  • Aurora, IL
National Provider Identifier
1629476254
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009231 Issued in IL
Practice address
1256 Waterford Dr
#140
Aurora, IL 60504-4510
Phone
(630) 898-5322
NPI assigned
Dec 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.009231 IL Primary

Addresses

Primary practice location

1256 Waterford Dr
#140
Aurora, IL 60504-4510

Mailing address

104 E Roosevelt Rd Ste 203
Wheaton, IL 60187-5200

Other practice location 1

104 E Roosevelt Rd Ste 203
Wheaton, IL 60187
Phone (630) 410-1818

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
180.009231ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Counseling, P.C. Professional CurrentSince Feb 16, 2020 Accepting new patients
Waterford Counseling and Psychological Services, PC Professional PastSince Oct 1, 2013 Accepting new patients

Locations

104 E Roosevelt Rd
Ste 203
Wheaton, IL 60187
Phone (630) 410-1818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1629476254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E ROOSEVELT RD STE 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR",
            "address_2": "#140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044510",
            "telephone_number": "630-898-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Roosevelt Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "60187",
            "country_code": "US",
            "telephone_number": "630-410-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "COREY",
        "middle_name": "WILLIAM",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-14",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.