CAROLINE WEIDEMAN (NPI# 1245799964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245799964 |
| Entity Type | Individual |
| Full Name | CAROLINE WEIDEMAN |
| Credential | LMHC |
| Practice Address |
904 South St Lafayette IN 47901-1416 |
| Practice Telephone | 7656307222 |
| Practice Fax Number | 7656307905 |
| Mailing Telephone | 7656307222 |
| Mailing Fax Number | 7656307905 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
88000803A | IN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
88000803A | Behavioral Health & Social Service Providers |
| Street Address |
904 SOUTH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47901-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902875917 | Joel B Mccuaig | Obstetrics & Gynecology | 904 South St, Lafayette, IN 47901-1416 | 2006-03-14 |
| 1316554447 | Rachel Loepker | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2020-09-23 |
| 1689283418 | Gabriela Olguin-flores | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2020-07-28 |
| 1770191389 | Stephanie Milan | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2020-07-20 |
| 1548727589 | Summer Cooper | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2019-02-26 |
| 1316415003 | Tawny Lee Culver | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2018-11-11 |
| 1245743806 | Laci C Parcell | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2017-11-06 |
| 1548792856 | Elizabeth Briasco | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2017-03-28 |
| 1053853168 | Gardens At Roundtable | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2016-11-07 |
| 1013366251 | Roundtable Wellness | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2016-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689138398 | Amie Leigh Gallegos | Physical Therapy Assistant | 2741 N Salisbury St, West Lafayette, IN 47901 | 2019-01-27 |
| 1780876656 | William Everett Clymer IIi | Social Worker | 420 Columbia Street, Suite 205, Lafayette, IN 47901 | 2007-08-15 |
| 1780885731 | Purdue University | Clinic/Center | 509 North Street, Lafayette, IN 47901 | 2007-05-29 |
| 1184846727 | Donnamarie Marie Flanagan | Social Worker | 420 Columbia St, Suite 205, Lafayette, IN 47901 | 2007-05-03 |
| 1326269200 | Cleveland G. Shields | Marriage & Family Therapist | 802 Columbia Street, Lafayette, IN 47901 | 2007-05-01 |
| 1861539884 | New Community School | Local Education Agency (LEA) | 710 North St., Lafayette, IN 47901 | 2007-01-31 |
| 1962445387 | Doug A Essex | Counselor | 610 Main Street, Lafayette, IN 47901 | 2006-06-14 |
| 1629250618 | Westcentral Indiana Neonatal Group | Pediatrics | 501 N 3rd St, Lafayette, IN 47901-1001 | 2007-11-30 |
| 1265655831 | William B. Risk | Dentist | 609 N 5th St, Lafayette, IN 47901-1012 | 2007-04-11 |
| 1912992439 | Jeffrey Jon Yocum | Optometrist | 637 Ferry St, Lafayette, IN 47901-1143 | 2005-09-12 |
| Find all providers in zip 47901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101293 | Dawn Deano | Counselor | 400 E Simpson St Ste 108, Lafayette, CO 80026-2359 | 2020-10-09 |
| 1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
| 1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
| 1497381339 | Joshua Thompson O'connor | Counselor | 412 W University Ave Ste 203, Lafayette, LA 70506-3673 | 2020-03-22 |
| 1255963971 | Alisha Denise Harrell | Counselor | 2550 Days Rd, Lafayette, TN 37083-5078 | 2020-02-11 |
| 1821637075 | Adam David Harris | Counselor | 655 Aspen Ridge Dr, Lafayette, CO 80026-9341 | 2020-01-04 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1255981726 | Jason Delahoussaye | Counselor | 1223 Camellia Blvd Ste 201, Lafayette, LA 70508-7220 | 2019-09-17 |
| 1417518341 | Kristen Nicole Neville | Counselor | 143 Ridgeway Dr # 201, Lafayette, LA 70503-3414 | 2019-06-21 |
| 1528623980 | Jason Bailey | Counselor | 1921 Dulles Dr, Lafayette, LA 70506-2716 | 2019-05-01 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.