Christopher H Weathers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-09715 Issued in NM

Practice address

1215 Gusdorf Rd Ste a
Taos, NM 87571-6914

Phone

(575) 770-7139

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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

• Rapha Provider Agency LLC

  • Clinical Social Worker
  • Taos, NM
  • NPI 1588200984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1295281566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JMA RANCH RD",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875295010",
            "telephone_number": "575-770-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GUSDORF RD STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716914",
            "telephone_number": "575-770-7139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Shadow Mountain Road",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "87571",
            "country_code": "US",
            "telephone_number": "575-758-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 Gusdorf Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875715227",
            "country_code": "US",
            "telephone_number": "575-770-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-09715",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": "X-09715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Waller
• John Michael Walsh, SCHOOL PSYCHOLOGIST
• Susan Warner
• Ellen Rhea Warren, MD
• Randal Lynn Watt, PHARMD
• Timothy M Weaver
• Amy Beth Webb, RN, CDE
• Ronald A Wedemeyer, D.C.
• Larissa M Weinman, LPCC
• Latifa Wellman Weinman

• Clinical Social Worker in Taos, NM
• Providers in Taos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.