Individual provider Active NPI

Kerrie-Anne Weickert, MHC-LP

  • Mental Health Counselor
  • Woodstock, NY
National Provider Identifier
1861255945
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
15 Pine Grove St
Woodstock, NY 12498-1507
Phone
(908) 208-5361
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

15 Pine Grove St
Woodstock, NY 12498-1507

Mailing address

15 Pine Grove St
Woodstock, NY 12498-1507
Phone (908) 208-5361

Other practice location 1

11 Broadway Ste 1168
New York, NY 10004-1326
Phone (212) 320-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260624001565 NY Practitioner - Mental Health Counselor 2264905918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 Pine Grove St
Woodstock, NY 12498-1507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Integrations Incorporated Mental Health CurrentSince Apr 12, 2026 Accepting new patients
Daniel J. Zimmerman, M.D., Psychiatry Services, PLLC PastSince Dec 10, 2023 Accepting new patients

Locations

15 Pine Grove St
Woodstock, NY 12498
Phone (845) 679-5511

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.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1861255945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "908-208-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "908-208-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Broadway Ste 1168",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100041326",
            "country_code": "US",
            "telephone_number": "212-320-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEICKERT",
        "first_name": "KERRIE-ANNE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

Verify at the official NPI Registry.