Cherry Louise Weaver

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18833 Issued in TX

Practice address

111 NW 24TH St
Fort Worth, TX 76164-8544

Phone

(817) 626-7640

Fax

(817) 626-6400

NPI assigned

Jul 25, 2006

Last updated

Jan 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Cherry Louise Shaffer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PSP Professional Services, Inc.

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1922298322
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1336162213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 WATER FOWL TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024571",
            "telephone_number": "817-247-0880",
            "fax_number": "817-626-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 24TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648544",
            "telephone_number": "817-626-7640",
            "fax_number": "817-626-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CHERRY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1660",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "SHAFFER",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Lou Weatherly
• Valarie Weathersby
• Heather Weatherspoon
• Whitney Weatherspoon, FNP-BC
• Angela Christine Weaver, LCSW
• Elizabeth A Tracey Weaver, WHNP
• Joanna Elizabeth Weaver, LVN
• Jonathan Weaver, PT, DPT
• Paige Weaver, PA-C
• Patrick Wayne Weaver, LPC

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.