NPIMap

Individual provider Active NPI

Kurt Andrew Weber, PH.D.

  • Counseling Psychologist
  • De Pere, WI
National Provider Identifier
1891959250
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2630-057 Issued in WI
Practice address
100 Grant St
St. Norbert College
De Pere, WI 54115-2002
Phone
(920) 403-3266
Fax
(920) 403-3099
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2630-057 WI Primary

Addresses

Primary practice location

100 Grant St
St. Norbert College
De Pere, WI 54115-2002

Mailing address

100 Grant St
St. Norbert College
De Pere, WI 54115-2002
Phone (920) 403-3266

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2630-057WIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Norbert College Past Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1891959250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRANT ST",
            "address_2": "ST. NORBERT COLLEGE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152002",
            "telephone_number": "920-403-3266",
            "fax_number": "920-403-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRANT ST",
            "address_2": "ST. NORBERT COLLEGE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152002",
            "telephone_number": "920-403-3266",
            "fax_number": "920-403-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KURT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2630-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.