Individual provider Active NPI

Amy Lyn Weyer

  • Mental Health Counselor
  • Orange City, IA
National Provider Identifier
1871218404
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
104 Central Ave S.
Orange City, IA 51041
Phone
(701) 388-2841
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 081361 IA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

104 Central Ave S.
Orange City, IA 51041

Mailing address

3395 400TH St
Sioux Center, IA 51250-7556
Phone (701) 388-2841

Other practice location 1

1217 Ia-10
Orange City, IA 51041
Phone (712) 707-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241226001997 IA Practitioner - Clinical Social Worker 3274060504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081361IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Therapy & Assessment, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Family Solutions Services, Inc. CurrentSince Oct 1, 2022 Accepting new patients

Locations

1217 Highway 10 W
Orange City, IA 51041
Phone (712) 707-9222

104 Central Ave SW
Orange City, IA 51041
Phone (701) 388-2841

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1871218404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 400TH ST",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512507556",
            "telephone_number": "701-388-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CENTRAL AVE S.",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "701-388-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 IA-10",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "IA",
            "postal_code": "51041",
            "country_code": "US",
            "telephone_number": "712-707-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEYER",
        "first_name": "AMY",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "081361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.