J.D. WEIDNER PH.D.
NPI 1669623799
Counselor - Mental Health in Decatur, GA

Q: What is J.d. Weidner's NPI number?

The NPI number for J.d. Weidner is 1669623799. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Q: What is J.d. Weidner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for J.d. Weidner was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since October 07, 2008PECOS Enrolled

2750 HERITAGE MANOR WALK, DECATUR, GA 30034(404) 317-9566 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Apr 2, 2024, Oct 16, 2023 and 1 more (4 updates tracked since 2023).

On this page

About J.d. Weidner Ph.d. NPPES

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

J.D. WEIDNER PH.D. (NPI 1669623799) is an individual mental health provider in Decatur, Georgia, licensed in Georgia (GA-LPC009051) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669623799

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJ.D. WEIDNERCredential: PH.D.

Location Address2750 HERITAGE MANOR WALKDecatur, GA 30034

Mailing Address2750 Heritage Manor WalkDecatur, GA 30034-1002 · (404) 317-9566

Phone(404) 317-9566

Sole ProprietorYes

Enumeration DateOctober 7, 2008

Last NPPES UpdateNovember 21, 20244 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1669623799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in GA · GA-LPC009051✔ Licensed in FL · FL-MH21136

2750 HERITAGE MANOR WALK, Decatur, GA 30034

Open in Google Maps ↗

Other Identifiers 2

OtherLPC009051GA · State License

OtherMH21136FL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J.d. Weidner Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

RECOVERY LGBT COUNSELING LLC

Counselor (Mental Health)

2750 HERITAGE MANOR WALK
DECATUR, GA 30034

Dekalb County (404) 317-9566

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 J.d. Weidner's NPI number?

The NPI number for J.d. Weidner is 1669623799. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is J.d. Weidner located?

J.d. Weidner practices at 2750 Heritage Manor Walk, Decatur, GA 30034. The listed phone number is (404) 317-9566.

What is J.d. Weidner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is J.d. Weidner enrolled in Medicare?

Yes. J.d. Weidner is registered in the Medicare PECOS enrollment system.

What insurance does J.d. Weidner accept?

Health plans from Providence Health Plan list J.d. Weidner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J.d. Weidner was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.