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JILL WELDUM LMFT
NPI 1386857217
Marriage & Family Therapist in Fayetteville, NY

Active since May 07, 2007Opted out of Medicare · through Mar 17, 2027
7030 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 492-1390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Weldum Lmft NPPES

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

JILL WELDUM LMFT (NPI 1386857217) is an individual marriage & family therapist in Fayetteville, New York, licensed in New York (0070) and active in the NPI registry since May 2007. She has opted out of Medicare through March 17, 2027.

NPPES Registry Identity

NPI1386857217
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJILL WELDUMCredential: LMFT
Location Address7030 E GENESEE STFayetteville, NY 13066-1121
Mailing Address7030 E Genesee StFayetteville, NY 13066-1121 · (315) 492-1390
Phone(315) 492-1390
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386857217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · 0070
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7030 E GENESEE ST, Fayetteville, NY 13066
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jill Weldum Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025
Opt-Out In Effect ThroughMarch 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

MRS. TRACY A LUNNEY LCSW-R
Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 449-0562
CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7030 E GENESEE ST, SUITE 109
FAYETTEVILLE, NY 13066
Onondaga County (315) 560-6919
JUD STALLER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 446-1736
DR. MARY ELIZABETH JEANNOTTE PHD
Psychologist
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 682-0871
DR. NIAMH DOYLE PH.D.
Psychologist (Clinical)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 400-3116
MS. LYNN CAROL KOSS M.S. CCC-SLP
Speech-Language Pathologist
7030 E GENESEE ST, THE WHITE HOUSE PROFESSIONAL OFFICES
FAYETTEVILLE, NY 13066
Onondaga County (315) 446-4202
DR. MARIA DITULLIO ED.D
Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 401-1747
DR. MATTHEW HENRY ROSA MD
Psychiatry & Neurology (Psychiatry)
7030 E GENESEE ST, SUITE 109
FAYETTEVILLE, NY 13066
Onondaga County (315) 510-6760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Weldum's NPI number?

The NPI number for Jill Weldum is 1386857217. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Jill Weldum located?

Jill Weldum practices at 7030 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 492-1390.

What is Jill Weldum's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jill Weldum enrolled in Medicare?

No. Jill Weldum has opted out of Medicare through March 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jill Weldum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.