Active NPI
Kenneth Weber, LCPC, CRC
- Professional Counselor
- Batavia, IL
National Provider Identifier
1912537747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012460
- Practice address
- 92 Johnson Woods Dr
Batavia, IL 60510-3123 - Phone
- (630) 346-7283
- NPI assigned
- Jan 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.012460 | IL | Primary |
Addresses
Primary practice location
92 Johnson Woods Dr
Batavia, IL 60510-3123
Mailing address
92 Johnson Woods Dr
Batavia, IL 60510-3123
Phone (630) 346-7283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180.012460 | Other | IL | STATE OF ILLINOIS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.012460 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1912537747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 JOHNSON WOODS DR",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605103123",
"telephone_number": "630-346-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 JOHNSON WOODS DR",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605103123",
"telephone_number": "630-346-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "KENNETH",
"credential": "LCPC, CRC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS",
"identifier": "180.012460",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.