Active NPI
Patricia M Weyand, M.S. LCPC
- Mental Health Counselor
- Westbrook, ME
National Provider Identifier
1760584148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC1669
- Practice address
- 836 Main St
Westbrook, ME 04092-2861 - Phone
- (207) 856-0090
- Fax
- (207) 856-0090
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC1669 | ME | Primary |
Addresses
Primary practice location
836 Main St
Westbrook, ME 04092-2861
Mailing address
33 Storer St
Kennebunk, ME 04043-6832
Phone (207) 985-7140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047762 | Other | ME | ANTHEM BC/BS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC1669 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760584148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 STORER ST",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436832",
"telephone_number": "207-985-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 MAIN ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040922861",
"telephone_number": "207-856-0090",
"fax_number": "207-856-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYAND",
"first_name": "PATRICIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.S. LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC1669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "047762",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.