John Weaver, MS, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18665 Issued in NC

Practice address

4814 Six Forks Rd Ste 202
Raleigh, NC 27609-5246

Phone

(919) 880-4078

NPI assigned

May 2, 2023

Last updated

May 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Creative Therapies, PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1699310433
  NPD (past)

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1376232777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 BATSON DR",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275257363",
            "telephone_number": "919-740-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095246",
            "telephone_number": "919-880-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JOHN",
        "credential": "MS, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mary Weaver, LMFTA
• Carleigh Davis Weaver, LCSW
• Debra Sue Weaver, NURSE PRACTITIONER
• Elizabeth R Weaver
• Erica Weaver, HAIR LOSS SPECIALIST
• Kelaysia Weaver, PHARMD,RPH
• Mark Shannon Weaver, MS, LPC
• Robert Gregory Weaver
• Sara Ashton Weaver
• Susan T Weaver, M.D.

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.