Jewel Nushu Weah, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83364 Issued in TX

Practice address

11551 Forest Central Dr 202 202
Dallas, TX 75243-2105

Phone

(844) 824-8775

Fax

(281) 648-2200

NPI assigned

Jan 16, 2020

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cornerstone Mental Health LLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1215529771
  NPD Authorized official
• McKinney Foundations Counseling

  dba Foundations Counseling

  • Mental Health Counselor
  • Allen, TX
  • NPI 1043738180
  Medicare reassignment
• Pathways Youth & Family Services, Inc.

  • Counselor
  • Kerrville, TX
  • NPI 1992729651

  Professional

  NPD (past)
• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1841820016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434058",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR 202 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432105",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAH",
        "first_name": "JEWEL",
        "middle_name": "NUSHU",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83364",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Wazir, MD
• Fatima Wagih Wazni, M.D.
• WCHH Enteerprise LLC
• WCML Management Services, LLC (Men's Edge Medical Center)
• We Kare Behavioral Health Center
• David Robert Weakley Jr., MD
• Devri Lane Weakley, MD
• Joanna Weakley, PT
• Kathleen Wear, DPT
• Jessalyn Mae Weary, PA-C

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.