Active NPI
Susan Weinberg, LICSW
- Mental Health Counselor
- Pittsfield, MA
National Provider Identifier
1861569808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1024550
- Practice address
- 333 East St
Brien Center
Pittsfield, MA 01201-5312 - Phone
- (413) 629-1180
- NPI assigned
- Nov 28, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1024550 | MA | Primary |
Addresses
Primary practice location
333 East St
Brien Center
Pittsfield, MA 01201-5312
Mailing address
7 Water St
Housatonic, MA 01236-9761
Phone (413) 274-0006
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94172 | Other | MA | CIGNA BEHAVIORAL HEALTH |
| P08376 | Other | MA | BLUE CROSS BLUE SHIELD |
| 028054 | Other | MA | VALUE OPTIONS |
| 31643 | Other | MA | HEALTH NEW ENGLAND |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861569808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WATER ST",
"city": "HOUSATONIC",
"state": "MA",
"postal_code": "012369761",
"telephone_number": "413-274-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EAST ST",
"address_2": "BRIEN CENTER",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015312",
"telephone_number": "413-629-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1024550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "94172",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P08376",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "028054",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "31643",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.