Active NPI
Mark Gerhard Weick, M. ED, LMHC
- Mental Health Counselor
- Wenatchee, WA
National Provider Identifier
1982754313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH00005586
- Practice address
- 25 N Wenatchee Ave Ste 210B
Wenatchee, WA 98801-2283 - Phone
- (509) 670-2663
- Fax
- (509) 548-4388
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH00005586 | WA | Primary |
Addresses
Primary practice location
25 N Wenatchee Ave Ste 210B
Wenatchee, WA 98801-2283
Mailing address
25 N Wenatchee Ave Ste 210B
Wenatchee, WA 98801-2283
Phone (509) 670-2663
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH00005586 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982754313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WENATCHEE AVE STE 210B",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012283",
"telephone_number": "509-670-2663",
"fax_number": "509-548-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WENATCHEE AVE STE 210B",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012283",
"telephone_number": "509-670-2663",
"fax_number": "509-548-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEICK",
"first_name": "MARK",
"middle_name": "GERHARD",
"name_prefix": "Mr.",
"credential": "M. ED, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MH00005586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.