Individual provider Active NPI

Kristopher Thomas Weber, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1376296590
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23619 Issued in FL
Practice address
2345 Stanford CT Ste 601
Naples, FL 34112-4841
Phone
(239) 880-6839
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 MH23619 FL Primary

Addresses

Primary practice location

2345 Stanford CT Ste 601
Naples, FL 34112-4841

Mailing address

2345 Stanford CT Ste 602
Naples, FL 34112-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240605003523 FL Practitioner - Mental Health Counselor 0941742951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Treatment Team LLCGroup PAC ID 0446594451, 22 clinicians

Practice addresses (Care Compare)

2345 Stanford CT
Suite 602
Naples, FL 34112-4841
Phone (239) 537-9646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23619FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC Mental Health CurrentSince Apr 28, 2024 Accepting new patients
Therapy Treatment Team LLC Mental Health CurrentSince Apr 24, 2022 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

2345 Stanford Ct
Ste 602
Naples, FL 34112
Phone (239) 537-9646

Organizations & group practices 2

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1376296590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT STE 602",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT STE 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124841",
            "telephone_number": "239-880-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.