Individual provider Active NPI

Linda Weiss, MA, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1801288576
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18781 Issued in AZ
Practice address
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone
(480) 428-2944
Fax
(480) 680-5361
NPI assigned
Mar 4, 2015
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 LPC-18781 AZ Primary

Addresses

Primary practice location

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500

Mailing address

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone (480) 428-2944

Other practice location 1

202 E. Earll Dr.
Suite 200
Phoenix, AZ 85012-2647
Phone (602) 599-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240109004186 AZ Practitioner - Mental Health Counselor 9335590843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aj Southwest Ventures IncGroup PAC ID 8224480090, 7 clinicians

Practice addresses (Care Compare)

3920 S Rural Rd
Suite 112
Tempe, AZ 85282-5500
Phone (480) 674-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Jan 1, 2024 Accepting new patients
Aj Southwest Ventures Inc CurrentSince Feb 12, 2024 Accepting new patients

Locations

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

6915 E Main St
Ste 200
Mesa, AZ 85207

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

3920 S Rural Rd
Ste 112
Tempe, AZ 85282
Phone (480) 428-2944

Interoperability endpoints

  • Direct secure messaging: linda.weissbhplac.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1801288576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-428-2944",
            "fax_number": "480-680-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-428-2944",
            "fax_number": "480-680-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E. Earll Dr.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122647",
            "country_code": "US",
            "telephone_number": "602-599-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LINDA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.