Michael W Weiss, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60534855 Issued in WA

Practice address

12330 NE 8TH St Ste 100
Bellevue, WA 98005-3187

Phone

(425) 454-2238

Fax

(425) 455-8482

NPI assigned

Sep 22, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Life Recovery Solutions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1942444013
  NPD
• New Life Reovery Solutions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1902275886
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1720457666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-454-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-454-2238",
            "fax_number": "425-455-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60534855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDP",
            "identifier": "CP60534855",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jon Weir, D.C.
• Thomas W Weir, M.D.
• Carol Weisbecker, RN
• Karin Andrea Weiser, LPN
• Barry Weiss, M.D.
• Robert M Weissman, MD
• Mary Katharine Weitering, MA, BCBA, LBA
• Brooke Rachelle Weitz, ND
• Nicole M Weitzel, LMP
• Jeremy John Welch, D.C.

• Addiction (Substance Use Disorder) Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.