Active NPI
Grant Weaver, MA, CDP, MAC, LMHC
- Professional Counselor
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385 - Phone
- (888) 374-5066
- Fax
- (719) 623-0165
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | GU | ||
| Professional Counselor | 101YP2500X | AZ | Primary | |
| Marriage & Family Therapist | 106H00000X | IMF-97 | GU | |
| Professional Counselor | 101YP2500X | 4294 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00002621 | WA | |
| Mental Health Counselor | 101YM0800X | LH00003794 | WA |
Addresses
Primary practice location
37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385
Mailing address
37200 N Gantzel Rd Ste 200
San Tan Valley, AZ 85140-7385
Other practice location 1
178 Francisco Xavier Drive
Apartment 9 Cliff Condos & Guest House
Agana Heights, GU 96910
Phone (671) 482-6095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00002621 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00003794 | WA | MD | Mental Health Counselor |
| 4294 | WA | MD | Professional Counselor |
| IMF-97 | GU | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Mental Health | Current | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020
37200 N Gantzel Rd
Ste 200
San Tan Valley, AZ 85140
Phone (480) 684-3747
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": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1356482921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37200 N GANTZEL RD STE 200",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37200 N GANTZEL RD STE 200",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407385",
"telephone_number": "888-374-5066",
"fax_number": "719-623-0165"
}
],
"practiceLocations": [
{
"address_1": "178 Francisco Xavier Drive",
"address_2": "Apartment 9 Cliff Condos & Guest House",
"address_purpose": "LOCATION",
"city": "Agana Heights",
"state": "GU",
"postal_code": "96910",
"country_code": "US",
"telephone_number": "671-482-6095",
"fax_number": "671-344-9522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "GRANT",
"name_prefix": "Mr.",
"credential": "MA, CDP, MAC, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GU",
"license": "IMF-97",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "4294",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002621",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00003794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.