Active NPI
Geraldine Richell Weir
- Marriage & Family Therapist
- Saint Jacob, IL
National Provider Identifier
1831435809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000885
- Practice address
- 10050 E Kirsch Rd
Saint Jacob, IL 62281-2128 - Phone
- (618) 531-1871
- NPI assigned
- Dec 20, 2012
- Last updated
- Dec 20, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000885 | IL | Primary |
Addresses
Primary practice location
10050 E Kirsch Rd
Saint Jacob, IL 62281-2128
Mailing address
10050 E Kirsch Rd
Saint Jacob, IL 62281-2128
Phone (618) 531-1871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000885 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1831435809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 E KIRSCH RD",
"city": "SAINT JACOB",
"state": "IL",
"postal_code": "622812128",
"telephone_number": "618-531-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 E KIRSCH RD",
"city": "SAINT JACOB",
"state": "IL",
"postal_code": "622812128",
"telephone_number": "618-531-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "GERALDINE",
"middle_name": "RICHELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Jacob, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.