Active NPI
Timothy Matthew Weddington, LPCC
- Professional Counselor
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 242880
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.