Active NPI
Kelcee Weaver, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Fremont, CA
National Provider Identifier
1255052189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1421290321
- Practice address
- 37437 Glenmoor Dr
Fremont, CA 94536-5731 - Phone
- (510) 713-3200
- Fax
- (510) 713-0684
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1421290321 | CA | Primary |
Addresses
Primary practice location
37437 Glenmoor Dr
Fremont, CA 94536-5731
Mailing address
4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755
Phone (510) 713-3202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1421290321 | Other | CA | CCAPP |
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 |
|---|---|---|---|
| R1421290321 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1255052189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 PERALTA BLVD STE 1",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365755",
"telephone_number": "510-713-3202",
"fax_number": "510-713-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37437 GLENMOOR DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365731",
"telephone_number": "510-713-3200",
"fax_number": "510-713-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KELCEE",
"name_prefix": "Ms.",
"credential": "CADC-II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1421290321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "R1421290321",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.