Individual provider Active NPI

Timothy Matthew Weddington, LPCC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1770058752
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
242880 Issued in KY
Practice address
805 Carneal Rd
Lexington, KY 40505-3601
Phone
(859) 230-0784
NPI assigned
Oct 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 242880 KY Primary

Addresses

Primary practice location

805 Carneal Rd
Lexington, KY 40505-3601

Mailing address

805 Carneal Rd
Lexington, KY 40505-3601
Phone (859) 230-0784

Other names 1

  • Mr. Matthew Weddington Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240627001038 KY Practitioner - Mental Health Counselor 9335683606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1255 Providence LN
Suite 115
Lexington, KY 40502-2380
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

120 Prosperous Pl
Ste 201
Lexington, KY 40509
Phone (859) 368-0609

1255 Providence Place Pkwy
Ste 115
Lexington, KY 40511
Phone (859) 214-7440

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

Interoperability endpoints

  • Direct secure messaging: bbh.timothymweddington@140103.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1770058752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CARNEAL RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053601",
            "telephone_number": "859-230-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CARNEAL RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053601",
            "telephone_number": "859-230-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDINGTON",
        "first_name": "TIMOTHY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "242880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "WEDDINGTON",
            "prefix": "MR.",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.