Individual provider Active NPI

Jacob Weishuhn

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1962941997
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72944 Issued in TX
Practice address
4702 N Laurent St Ste D
Victoria, TX 77904-2158
Phone
(361) 572-0202
Fax
(361) 572-0300
NPI assigned
Feb 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72944 TX Primary

Addresses

Primary practice location

4702 N Laurent St Ste D
Victoria, TX 77904-2158

Mailing address

4702 N Laurent St Ste D
Victoria, TX 77904-2158
Phone (361) 572-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240406000535 TX Practitioner - Mental Health Counselor 7113365396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72944TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delores E. White PLLC Professional CurrentSince Feb 26, 2024 Accepting new patients
David and Delores White PastSince Feb 26, 2024 Accepting new patients

Locations

415 E Davis St
Luling, TX 78648

4702 N Laurent St
Ste D
Victoria, TX 77904
Phone (361) 489-0212

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1962941997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 N LAURENT ST STE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042158",
            "telephone_number": "361-572-0202",
            "fax_number": "361-572-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 N LAURENT ST STE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042158",
            "telephone_number": "361-572-0202",
            "fax_number": "361-572-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHUHN",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.