Individual provider Active NPI

Brian Weza, MA

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1871207530
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180017163 Issued in IL
Practice address
1430 N Washtenaw Ave
Chicago, IL 60622-1631
Phone
(360) 463-6452
NPI assigned
Jan 9, 2023
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180017163 IL Primary

Addresses

Primary practice location

1430 N Washtenaw Ave
Chicago, IL 60622-1631

Mailing address

1430 N Washtenaw Ave
Chicago, IL 60622-1631
Phone (360) 463-6452

Other practice location 1

3234 W Fullerton Ave
Chicago, IL 60647-2594
Phone (773) 466-9882

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180017163ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Weza, PLLC Mental Health CurrentSince May 25, 2025 Accepting new patients
Five Point Holistic Health Professional CurrentSince Jan 1, 2023 Accepting new patients

Locations

2866 N Milwaukee Ave
Chicago, IL 60618
Phone (773) 466-9882

3234 W Fullerton Ave
Chicago, IL 60647
Phone (773) 466-9882

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1871207530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N WASHTENAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221631",
            "telephone_number": "360-463-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N WASHTENAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221631",
            "telephone_number": "360-463-6452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3234 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472594",
            "country_code": "US",
            "telephone_number": "773-466-9882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEZA",
        "first_name": "BRIAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180017163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.