Individual provider Active NPI

Barbara Sell Weaver, LCMHC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1396475695
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17586 Issued in NC
Practice address
3568 Summerfield LN
Winston Salem, NC 27106-4267
Phone
(336) 972-1233
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 17586 NC Primary

Addresses

Primary practice location

3568 Summerfield LN
Winston Salem, NC 27106-4267

Mailing address

3568 Summerfield LN
Winston Salem, NC 27106-4267
Phone (336) 972-1233

Other practice location 1

942 W 4th St
Winston Salem, NC 27101-2582
Phone (336) 855-8244

Other practice location 2

942 W 4th St
Winston Salem, NC 27101-2582
Phone (336) 855-8244

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17586NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Youth Network Past Accepting new patients
Alexander Youth Network Past Accepting new patients

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1396475695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 SUMMERFIELD LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064267",
            "telephone_number": "336-972-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 SUMMERFIELD LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064267",
            "telephone_number": "336-972-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012582",
            "country_code": "US",
            "telephone_number": "336-855-8244",
            "fax_number": "336-546-7630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "942 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012582",
            "country_code": "US",
            "telephone_number": "336-855-8244",
            "fax_number": "336-546-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BARBARA",
        "middle_name": "SELL",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.