Individual provider Active NPI

Elena Weaver, LPC

  • Mental Health Counselor
  • Roeland Park, KS
National Provider Identifier
1346026101
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
04433 Issued in KS
Practice address
5000 Johnson Dr
Suite B
Roeland Park, KS 66205-2922
Phone
(913) 707-2463
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 04433 KS Primary

Addresses

Primary practice location

5000 Johnson Dr
Suite B
Roeland Park, KS 66205-2922

Mailing address

5000 Johnson Dr
Suite B
Roeland Park, KS 66205-2922
Phone (913) 707-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 2, 2025 through Dec 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04433KSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1346026101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 JOHNSON DR",
            "address_2": "SUITE B",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052922",
            "telephone_number": "913-707-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 JOHNSON DR",
            "address_2": "SUITE B",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052922",
            "telephone_number": "913-707-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ELENA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "04433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.