Jill A Weinstein, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60543051 Issued in WA

Practice address

1715 114TH Ave SE Ste 204
Bellevue, WA 98004-6906

Phone

(425) 454-0839

Fax

(425) 952-0120

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eastside Recovery Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1225558828
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932621273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE STE 204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046906",
            "telephone_number": "425-454-0839",
            "fax_number": "425-952-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE STE 204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046906",
            "telephone_number": "425-454-0839",
            "fax_number": "425-952-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60543051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR CERTIFICATION",
            "identifier": "037201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia M Weil, MA, LMHC
• Stephanie Weil, LICSW
• Allison Weiler
• Deborah Weiner
• Ian Weiner, M.A . LMHC
• Devan Marie Weir, RD, CD
• Michael Jon Weir, D.C.
• Thomas W Weir, M.D.
• Carol Weisbecker, RN
• Karin Andrea Weiser, LPN

• Addiction (Substance Use Disorder) Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.