J.D. WEIDNER (NPI# 1669623799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669623799 |
| Entity Type | Individual |
| Full Name | J.D. WEIDNER |
| Practice Address |
19 Latimer Ln Ne Kennesaw GA 30144-1593 |
| Mailing Address |
404 Mcgill Pl Ne Atlanta GA 30312-1070 |
| Practice Telephone | 6786401142 |
| Mailing Telephone | 6786401142 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH-7691 | FL | Behavioral Health & Social Service Providers |
| Street Address |
19 LATIMER LN NE |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902376163 | Healing Roots Counseling LLC | Counselor | 1690 Stone Village Ln Nw Ste 601b, Kennesaw, GA 30152-7777 | 2018-11-30 |
| 1134635964 | Montana Keig | Counselor | 1750 Shiloh Rd Nw Apt 713, Kennesaw, GA 30144-6466 | 2017-12-15 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1922467414 | Jacqueline Oduselu | Counselor | 1827 Brackendale Rd Nw, Kennesaw, GA 30152-7747 | 2016-02-12 |
| 1801229141 | Latoya Kenner | Counselor | 3415 Old Highway 41 Ste 750, Kennesaw, GA 30144-1028 | 2013-08-09 |
| 1871845230 | Frances Burch-scott | Counselor | 4013 Cripple Creek Dr Nw, Kennesaw, GA 30144-2109 | 2012-10-10 |
| 1053636860 | Kimberly Marie Seheult | Counselor | 2055 Barrett Lakes Blvd, Apt 1402, Kennesaw, GA 30144 | 2010-04-05 |
| 1417271958 | Bailey Michael Cooper | Counselor | 4286 Windy Gap Ct Nw, Kennesaw, GA 30144-5121 | 2010-03-25 |
| 1801129424 | Latrisha Evon Mccauley, Dc | Counselor | 506 Pentworth Ct, Kennesaw, GA 30144 | 2009-09-15 |
| 1922246651 | Jean Marie Sanders | Counselor | 340 Bramford Way Nw, Kennesaw, GA 30144-1337 | 2009-02-03 |
| Find all providers in KENNESAW | ||||
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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.