Christine Dievendorf Weiss, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401011020 Issued in MI

Legal business name

CHRISTINE DIEVENDORF WEISS, PLLC

Practice address

5400 Holiday Ter Ste 200a
Kalamazoo, MI 49009-2161

Phone

(269) 520-0050

Fax

(269) 520-0051

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

Christine Dievendorf Weiss, MANPI 1114155330

Title

Owner

Phone

(269) 520-0050

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Dievendorf Weiss, M.A.

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1114155330

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588464000000",
    "number": "1821501933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0050",
            "fax_number": "269-520-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0050",
            "fax_number": "269-520-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4482 Sweet Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490043725",
            "country_code": "US",
            "telephone_number": "269-267-0518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4482 Sweet Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490043725",
            "country_code": "US",
            "telephone_number": "269-267-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINE DIEVENDORF WEISS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DIEVENDORF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-520-0050",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011020",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Christensen
• Lasean Christian-Holmes
• Janay Christian
• Carol A. Christianson, M.S.
• Christina Thomason, PLLC
• Christine Uggeri DDS PLC
• Erica Christoff
• Richard Lyle Church, MA
• Cierra Churchwell
• Kayla Cieslinski, PHARMD

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.