Individual provider Active NPI

Grant Weaver, MA, CDP, MAC, LMHC

  • Professional Counselor
  • San Tan Valley, AZ
National Provider Identifier
1356482921
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219001058 AZ Practitioner - Mental Health Counselor 5799265534 Reassigns benefits to 1 organization

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
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

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

LicenseStateTypeSpecialty
CP00002621WAMDAddiction (Substance Use Disorder) Counselor
LH00003794WAMDMental Health Counselor
4294WAMDProfessional Counselor
IMF-97GUMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Jan 12, 2026 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

Verify at the official NPI Registry.