Active NPI
Jill A Weiterman, MS, LPC
- Professional Counselor
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013000300
- Practice address
- 17844 E 23Rd St S
Independence, MO 64057-1840 - Phone
- (816) 254-3652
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 2013000300 | MO | Primary |
Addresses
Primary practice location
17844 E 23Rd St S
Independence, MO 64057-1840
Mailing address
17844 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 254-3652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013000300 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients |
Locations
17611 E US Highway 24
Independence, MO 64056
Phone (816) 836-6350
17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1194190066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1831618552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17844 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571840",
"telephone_number": "816-254-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17844 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571840",
"telephone_number": "816-254-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITERMAN",
"first_name": "JILL",
"middle_name": "A",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013000300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.