MR. MICHAEL CHARLES WEYAND


Address: 108 Se 124th Ave, Vancouver, WA 98684-6015
Phone: 3608917421

MR. MICHAEL CHARLES WEYAND (NPI# 1871586222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871586222
Entity Type Individual
Full Name MR. MICHAEL CHARLES WEYAND
Credential MSW, LICSW, LCSW,
Practice Address 108 Se 124th Ave
Vancouver
WA 98684-6015
Mailing Address 1601 E 4th Plain Blvd
Vancouver
WA 98661-3753
Practice Telephone 3608917421
Practice Fax Number 3602538358
Mailing Telephone 3606242744
Enumeration Date 2005-08-31
Last Update Date 2013-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
2-00645 MI Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
03-R-04 OR Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP00004960 WA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
L3386 OR Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
LW00007884 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1871586222 05

Office Location

Street Address 108 SE 124TH AVE
City VANCOUVER
State WA
Zip Code 98684-6015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346898871 Life Affirming Psychotherapy, PC Social Worker 108 Se 124th Ave, Vancouver, WA 98684 2019-08-28
1073912879 Sharon Morgan, Lmp Massage Therapist 108 Se 124th Ave, Vancouver, WA 98684-6015 2014-08-18
1770927360 Massage By Willow, Inc Massage Therapist 108 Se 124th Ave, Vancouver, WA 98684-6015 2013-04-25
1962756627 Barbara Hoven-hafdahl Counselor 108 Se 124th Ave, Vancouver, WA 98684-6015 2012-11-02
1699023028 Vickie L Hermann Social Worker 108 Se 124th Ave, Suite 10, Vancouver, WA 98684 2012-08-15
1699051672 Sharon Morgan Massage Therapist 108 Se 124th Ave, Vancouver, WA 98684-6015 2011-10-22
1891085643 Diane Kaiser Psyd Psychologist 108 Se 124th Ave, Vancouver, WA 98684-6015 2011-04-13
1912217548 Sandra Hunt Bero Counselor 108 Se 124th Ave, Vancouver, WA 98684-6015 2010-10-17
1265743413 Rhonda Elston, Ma, LLC Counselor 108 Se 124th Ave, Vancouver, WA 98684-6015 2010-06-23
1891014445 Vera Mcewen Massage Therapist 108 Se 124th Ave, Vancouver, WA 98684-6015 2010-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285291849 Pacifica Sylvan Park LLC Alzheimer Center (Dementia Center) 2400 Ne 112th Avenue, Vancouver, WA 98684 2019-05-20
1699242826 Heidi Ericka Jackson Registered Nurse 15606 Ne 12th Way, Vancouver, WA 98684 2018-10-25
1477076727 Brian Benasa Bardeloza Dentist 605 Se 164th Ave Ste 103, Vancouver, WA 98684 2017-07-19
1992226062 Judith Moreno-castro Massage Therapist 2501 Ne 138th Ave., #60, Vancouver, WA 98684 2017-06-29
1346790706 Samuel Joonsang Lee Registered Nurse 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 2016-10-10
1912353178 Cheryl A. Hamilton-jefferson Counselor 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 2016-05-06
1063866424 Kim Forgione Optometrist 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 2016-04-21
1700254257 Desiree Haggart Registered Nurse 406 Se 131st St., Suite A101, Vancouver, WA 98684 2015-09-14
1215318068 Paige M. King Behavioral Analyst 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 2015-06-17
1417354366 Amanda Hilkey, Lmp Massage Therapist 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 2014-11-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669012332 Beatriz Soto Martinez Counselor 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 2020-01-10
1871140350 Anthony Douglas Dejesus Counselor 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655 2019-08-20
1235793027 James Dostert Counselor 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 2019-04-26
1811460231 Matthew Mcelveen Counselor 4000 Ne 94th St, Vancouver, WA 98665-5313 2019-01-08
1164910840 Lucyann Kendall Counselor 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 2018-04-27
1609364413 Amanda Boden Counselor 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 2018-04-26
1023505229 Ellen Barbour Counselor 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 2018-04-13
1922501998 Carl Albert Robinson Counselor 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 2018-03-15
1891200531 Craig Goold Counselor 18908 Se 23rd St, Vancouver, WA 98683-9793 2017-12-04
1679096325 Brian Scott Coleman Counselor 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 2017-07-24
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Competitor

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City VANCOUVER
Zip Code 98684

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Dataset Information

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.

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