Heavenly Crystal Weaver, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007271 Issued in VA

Practice address

710 Mobjack PL
Newport News, VA 23606-1957

Phone

(757) 240-2571

NPI assigned

Sep 29, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment NPD
• Perspective Psychotherapy Inc

  • Professional Counselor
  • Newport News, VA
  • NPI 1285388751
  NPD Authorized official
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295244515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-240-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-240-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "HEAVENLY",
        "middle_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Care Health Care, LLC
• We Love Autism Academy of Virginia, LLC
• We Ryde Nemt LLC
• Treena M Weathersby
• David L Weaver
• Laurel De Padua Weaver, MD
• Maria Weaver, LPC
• Brittany Webster
• Elizabeth Belt Webster, M.D.
• Nicole Cara Wegman, PA-C

• Professional Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.