Active NPI
Theresa M. Weaver, M.A., L.P.C.
- Professional Counselor
- Bay City, MI
National Provider Identifier
1255393401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401004225
- Practice address
- 200 S Wenona St
Dept-Total Family Health Care Ste 170
Bay City, MI 48706-8820 - Phone
- (989) 893-6162
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401004225 | MI | Primary |
Addresses
Primary practice location
200 S Wenona St
Dept-Total Family Health Care Ste 170
Bay City, MI 48706-8820
Mailing address
200 S Wenona St
Dept-Total Family Health Care Ste 170
Bay City, MI 48706-8820
Phone (989) 893-6162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12443729 | Other | MI | CAQH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401004225 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1255393401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WENONA ST",
"address_2": "DEPT-TOTAL FAMILY HEALTH CARE STE 170",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487068820",
"telephone_number": "989-893-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WENONA ST",
"address_2": "DEPT-TOTAL FAMILY HEALTH CARE STE 170",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487068820",
"telephone_number": "989-893-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "THERESA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401004225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12443729",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.