Jason Ryan Weiss
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1013674043
StatusActive
Last updated in NPPESNov 24, 2021
Details
- NPI
- 1013674043
- Entity type
- Individual (NPI-1)
- Name
- Jason Ryan Weiss
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2021
- Certification date
- Nov 24, 2021
- Last updated
- Nov 24, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1708017556 | IL | Yes |
Practice location
180 N Michigan Ave Ste 1040Chicago, IL 60601-7421
Phone 312-346-5156 · Fax 312-284-6088
Mailing address
21509 W Barbara CtKildeer, IL 60047-8611
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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