Individual provider Active NPI

Tasha Da'Vett Weaver, LPC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1295922292
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0907046 Issued in AR
Practice address
4 Shackleford PLZ Ste 100
Little Rock, AR 72211-1843
Phone
(501) 229-9835
Fax
(877) 552-1913
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P0907046 AR Primary

Addresses

Primary practice location

4 Shackleford PLZ Ste 100
Little Rock, AR 72211-1843

Mailing address

PO Box 3825
Hot Springs, AR 71914-3825
Phone (501) 229-9835

Other identifiers 1

IdentifierTypeStateIssuer
227025719MedicaidAR

Other names 1

  • Mrs. Tasha Da'Vett Hart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20240730004349 AR Practitioner - Mental Health Counselor 0042757742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TD Counseling Solutions, LLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

929 Airport Rd
Ste 201
Hot Springs, AR 71913
Phone (501) 229-4055

4 Shackleford Plz
Ste 100
Little Rock, AR 72211
Phone (501) 222-3463

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1295922292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3825",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719143825",
            "telephone_number": "501-229-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHACKLEFORD PLZ STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111843",
            "telephone_number": "501-229-9835",
            "fax_number": "877-552-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TASHA",
        "middle_name": "DA'VETT",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0907046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227025719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "HART",
            "middle_name": "DA'VETT",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.