Gary R Weiler, PCC, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1600057 Issued in OH

Practice address

8479 S. Mason Montgomery Road
Mason, OH 45040-4023

Phone

(513) 253-5638

Fax

(513) 725-1141

NPI assigned

Nov 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1851678650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-253-5638",
            "fax_number": "513-725-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-253-5638",
            "fax_number": "513-725-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600057",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "954219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Weaver, MSW, LISW-S
• Jennifer Ann Webb
• Dianne Leslie Webber
• Morgan Weber
• Emily Wei
• Nathan Michael Weir, M.D., PH.D.
• Albert J Weisbrot, MD
• Sarah Weiss
• Maria T. Weitfle, C.N.P.
• Wellcare Services LLC

• Professional Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Professional Counselor in Ohio

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