Timothy J Weeks, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

300858 Issued in MN

Practice address

115 Willow St W Ste 1
Detroit Lakes, MN 56501-3922

Phone

(218) 844-5191

NPI assigned

Mar 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1699191767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 23RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILLOW ST W STE 1",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013922",
            "telephone_number": "218-844-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Walter Shihdanian, MS, LMHC
• Laura Marie Ward, REGISTERED NURSE
• Whitney Kaytlin Warren, LADC
• Angela M Weaver, OT
• Isaac Weber, PA-C
• Tyler J Wegscheid, PT
• Emily Mae Welle, MD
• Susan M. Welnel, PHD
• Jennifer Wendlandt
• Kevin R Wentworth, MD

• Addiction (Substance Use Disorder) Counselor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.