Active NPI
Ashley Christina Weaver, LPC
- Professional Counselor
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014657
- Practice address
- 625 S Marietta Pkwy SE
Marietta, GA 30060-2748 - Phone
- (470) 377-7228
- Fax
- (470) 467-7583
- NPI assigned
- Apr 23, 2024
- Last updated
- Oct 16, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014657 | GA | Primary |
Addresses
Primary practice location
625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Mailing address
PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730
Other practice location 1
1462 Bouldercrest Rd SE Apt E4
Atlanta, GA 30316-3527
Phone (252) 367-9094
Other practice location 2
677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143
Other practice location 3
4561 River Rd Ste A
Columbus, GA 31904-5828
Phone (706) 478-5717
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 |
|---|---|---|---|
| LPC014657 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Georgia PC | Current | Accepting new patients |
Locations
677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143
4561 River Rd
#A
Columbus, GA 31904
Phone (706) 478-5717
625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228
Interoperability endpoints
- ashley.weaver.1@14883.direct.athenahealth.com
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.
-
- Primary Care Clinic/Center
- Stone Mountain, GA
- NPI 1588258024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1396590238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740015",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S MARIETTA PKWY SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602748",
"telephone_number": "470-377-7228",
"fax_number": "470-467-7583"
}
],
"practiceLocations": [
{
"address_1": "1462 Bouldercrest Rd SE Apt E4",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303163527",
"country_code": "US",
"telephone_number": "252-367-9094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "677 Cascade Ave SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303102404",
"country_code": "US",
"telephone_number": "470-444-3143",
"fax_number": "470-467-7469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4561 River Rd Ste A",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319045828",
"country_code": "US",
"telephone_number": "706-478-5717",
"fax_number": "406-229-4883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "ASHLEY",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.