Active NPI
Barbara Sell Weaver, LCMHC
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1396475695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17586 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric Residential Treatment Facility
- Charlotte, NC
- NPI 1073755583
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1518060318
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.