Active NPI
Jan Austin Weng, LPC
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1679911754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005468
- Practice address
- 720 N Saint Asaph St
Alexandria, VA 22314-1912 - Phone
- (703) 746-3400
- Fax
- (703) 746-3464
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 0701005468 | VA | Primary |
Addresses
Primary practice location
720 N Saint Asaph St
Alexandria, VA 22314-1912
Mailing address
720 N Saint Asaph St
Alexandria, VA 22314-1912
Phone (703) 746-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279658 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9309 Ctr St
Suite 101
Manassas, VA 20110-5599
Phone (703) 546-1834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005468 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Recovery and Wellness LLC | Current | Accepting new patients |
Locations
9309 Center St
Ste 101
Manassas, VA 20110
Phone (443) 690-5857
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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Manassas, VA
- NPI 1598306649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1679911754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N SAINT ASAPH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141912",
"telephone_number": "703-746-3400",
"fax_number": "703-746-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N SAINT ASAPH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141912",
"telephone_number": "703-746-3400",
"fax_number": "703-746-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "JAN",
"middle_name": "AUSTIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447279658",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.