Active NPI
Brett Weaver, LPC
- Mental Health Counselor
- Henderson, TX
National Provider Identifier
1164090684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 97848
- Practice address
- SS 20 Lake Cherokee
Henderson, TX 75652-8615 - Phone
- (806) 367-2176
- NPI assigned
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 97848 | TX | Primary |
Addresses
Primary practice location
SS 20 Lake Cherokee
Henderson, TX 75652-8615
Mailing address
2408 Lee Street Rd
Americus, GA 31709-9249
Phone (806) 367-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8771 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1164090684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 LEE STREET RD",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317099249",
"telephone_number": "806-367-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SS 20 LAKE CHEROKEE",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756528615",
"telephone_number": "806-367-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "BRETT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "97848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.