ALEXIS WEIDENHAMMER MA, LLC, SCL - NPI 1083480826

Q: What is Alexis Weidenhammer's NPI number?

The NPI number for Alexis Weidenhammer is 1083480826. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Alexis Weidenhammer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Alexis Weidenhammer Ma, Llc, Scl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS WEIDENHAMMER MA, LLC, SCL (NPI 1083480826) is an individual counselor in Troy, Michigan and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083480826

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALEXIS WEIDENHAMMERCredential: MA, LLC, SCL

Location Address1700 W BIG BEAVER RD STE 200Troy, MI 48084-3524

Mailing Address1460 Walton Blvd Ste 60Rochester Hills, MI 48309-1729

Phone(248) 608-4514

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 4, 2023

Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration

NPPES CertifiedDecember 13, 2023

✔ NPI 1083480826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

1700 W BIG BEAVER RD STE 200, Troy, MI 48084

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Weidenhammer Ma, Llc, Scl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769959014

PECOS Enrollment IDI20260424000559

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE KEY-CARNIAK

Psychologist