J.D. WEIDNER (PH.D.) – Counselor, NPI 1669623799

J.D. WEIDNER (PH.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in Counselor. They hold the professional credentials PH.D.. They hold a License No. FL-MH21136 (FL). The NPI Number for J.D. WEIDNER (PH.D.) is 1669623799

Main info

Male
Sole Proprietor
Name
J.D. WEIDNER (PH.D.)
NPI
1669623799
Phone
(678) 640-1142
Address
404 MCGILL PL NE
Enumeration Date
7 October 2008
Last Update Date
21 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Provider Addresses for J.D. WEIDNER (PH.D.)

  • 404, McGill Place Northeast, Atlanta, Georgia, 30312, United States

    ATLANTA, GA 303121070

    Phone: (678) 640-1142

    Type: Mailing

  • 19 LATIMER LN NE

    KENNESAW, GA 301441593

    Phone: (678) 640-1142

    Type: Location

  • 2750 HERITAGE MANOR WALK

    DECATUR, GA 30034

    Phone: (404) 317-9566

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-21

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30312)

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Reviews

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Frequently asked questions

Is J.D. WEIDNER (PH.D.) listed with a National Provider Identifier?
Yes — J.D. WEIDNER (PH.D.) has NPI 1669623799 on file in the registry.
Is J.D. WEIDNER (PH.D.) still an active registrant?
J.D. WEIDNER (PH.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for J.D. WEIDNER (PH.D.)?
At a glance, J.D. WEIDNER (PH.D.) is tied to Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for J.D. WEIDNER (PH.D.)?
Travel planning: use Atlanta, Georgia as the reference point for J.D. WEIDNER (PH.D.), then confirm.
Does J.D. WEIDNER (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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