Active NPI
Corey William Weir, L.C.P.C.
- Professional Counselor
- Aurora, IL
National Provider Identifier
1629476254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009231
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009231 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valor Counseling, P.C. | Professional | Current | Accepting new patients |
| Waterford Counseling and Psychological Services, PC | Professional | Past | 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.
-
- Clinical Psychologist
- Aurora, IL
- NPI 1104250067
Professional
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.