Kimberly Ann Weaver

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18825 Issued in NC

Practice address

7215 Lebanon Rd Ste C
Mint Hill, NC 28227-9027

Phone

(980) 285-3689

NPI assigned

Jun 23, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self-Talk Counseling & Consulting, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1144724980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1225714405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 STATESVILLE RD STE 6220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD STE C",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279027",
            "telephone_number": "980-285-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Walgreens
• Randall Scott Walker, LMBT
• Winston Ward
• Jambah Angela Warner
• Whitni Wertz
• Louise Wesley, OTR L
• Christopher Lynn West, MA, LCMHC, NCC
• Joseph Benedict Whalen, MD
• Wheels and Walls Company

• Mental Health Counselor in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.