Active NPI
Samiyrah Weaver, LPC
- Professional Counselor
- Haverford, PA
National Provider Identifier
1386257160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012583
- Practice address
- 551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419 - Phone
- (610) 892-3800
- NPI assigned
- Aug 31, 2020
- Last updated
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC012583 | PA | |
| Professional Counselor | 101YP2500X | PC012583 | PA | Primary |
Addresses
Primary practice location
551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419
Mailing address
551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419
Phone (610) 892-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012583 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1386257160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 W LANCASTER AVE STE 306",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411419",
"telephone_number": "610-892-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 W LANCASTER AVE STE 306",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411419",
"telephone_number": "610-892-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "SAMIYRAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC012583",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.