Active NPI
Matthew Weiner
- Professional Counselor
- Jenkintown, PA
National Provider Identifier
1689071425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007865
- Practice address
- 93 York Rd
Jenkintown, PA 19046-3925 - Phone
- (215) 885-3337
- NPI assigned
- Nov 21, 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 | PC007865 | PA | Primary |
Addresses
Primary practice location
93 York Rd
Jenkintown, PA 19046-3925
Mailing address
313 Carson St
Philadelphia, PA 19128-4804
Phone (412) 999-3539
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 |
|---|---|---|---|
| PC007865 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1689071425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 CARSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284804",
"telephone_number": "412-999-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 YORK RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463925",
"telephone_number": "215-885-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.