Individual provider Active NPI

Brenda Weingartz, MA

  • Counselor
  • Sandusky, MI
National Provider Identifier
1891141289
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009066 Issued in MI
Practice address
51 Austin St
Sandusky, MI 48471-1244
Phone
(810) 689-4846
Fax
(810) 958-1430
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009066 MI Primary

Addresses

Primary practice location

51 Austin St
Sandusky, MI 48471-1244

Mailing address

5110 Hawthorn Dr
Brown City, MI 48416-8032
Phone (810) 338-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240319002594 MI Practitioner - Mental Health Counselor 5799122347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401009066MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Therapy PLLC CurrentSince Feb 13, 2024 Accepting new patients

Locations

5730 Main St
Lexington, MI 48450
Phone (810) 359-2605

51 Austin St
Sandusky, MI 48471
Phone (810) 648-5244

Organizations & group practices 1

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1891141289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 HAWTHORN DR",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484168032",
            "telephone_number": "810-338-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 AUSTIN ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711244",
            "telephone_number": "810-689-4846",
            "fax_number": "810-958-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTZ",
        "first_name": "BRENDA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.