Active NPI
Susan D. Weimer, L.P.C.
- Professional Counselor
- Denton, TX
National Provider Identifier
1679762637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18514
- Practice address
- 2214 Emery St Ste 510
Denton, TX 76201-2476 - Phone
- (940) 291-3641
- Fax
- (940) 808-1018
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- 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 | 18514 | TX | Primary |
Addresses
Primary practice location
2214 Emery St Ste 510
Denton, TX 76201-2476
Mailing address
412 Madison PL
Ponder, TX 76259-8469
Phone (817) 938-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 23, 2024 through Sep 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18514 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1679762637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 MADISON PL",
"city": "PONDER",
"state": "TX",
"postal_code": "762598469",
"telephone_number": "817-938-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 EMERY ST STE 510",
"city": "DENTON",
"state": "TX",
"postal_code": "762012476",
"telephone_number": "940-291-3641",
"fax_number": "940-808-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIMER",
"first_name": "SUSAN",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.