Karin Elise Weber, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904008807 Issued in VA

Practice address

4000 Genesee PL
Suite 109
Woodbridge, VA 22192-8302

Phone

(703) 309-3803

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Virginia Commonwealth University, School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Wellness Group LLCGroup PAC ID 0547627366, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Wellness Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1962199745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1730560400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 MILDRED DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423910",
            "telephone_number": "703-309-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 GENESEE PL",
            "address_2": "SUITE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928302",
            "telephone_number": "703-309-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KARIN",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904008807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer D Watson, PHD
• Waves Health Connect LLC
• Elaha Waziry
• We Care Support Services, LLC
• We Care Wellness LLC
• Jennifer Dona Weekes, MSW, LICSW
• Shalanda Weems, LCSW
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #055)
• Jessica Nicole Weigeshoff
• Deborah Therese Weimer-Bryson, NP

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.

Verify at the official NPI Registry.