Individual provider Active NPI

Mark Gerhard Weick, M. ED, LMHC

  • Mental Health Counselor
  • Wenatchee, WA
National Provider Identifier
1982754313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH00005586 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH00005586WAMDMental 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.

Verify at the official NPI Registry.