Individual provider Active NPI

Jeanne H Weiner, LCSW

  • Mental Health Counselor
  • New City, NY
National Provider Identifier
1891708285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0365351 Issued in NY
Practice address
20 Duane Ave
New City, NY 10956-4940
Phone
(845) 639-0215
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0365351 NY Primary

Addresses

Primary practice location

20 Duane Ave
New City, NY 10956-4940

Mailing address

20 Duane Ave
New City, NY 10956-4940
Phone (845) 639-0215

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
I20040826001480 NY Practitioner - Clinical Social Worker 5597730234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Rockland County, Inc.Group PAC ID 7012982960, 5 clinicians

Practice addresses (Care Compare)

450 W Nyack Rd
West Nyack, NY 10994-1754
Phone (845) 354-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0365351NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Rockland County, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Rehab-Pro of Congers P.T.PLLC PastSince Jan 1, 2014 Accepting new patients

Locations

450 W Nyack Rd
West Nyack, NY 10994
Phone (845) 354-2121

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891708285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUANE AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564940",
            "telephone_number": "845-639-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUANE AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564940",
            "telephone_number": "845-639-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JEANNE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0365351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.