Johnathan Hayes Weaver, LPC, LSATP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008852 Issued in VA

Practice address

2530 Professional Rd Ste 201
North Chesterfield, VA 23235-3217

Phone

(804) 658-6760

Fax

(804) 658-7195

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Counseling Group LLC

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1306465257
  Medicare reassignment NPD Authorized official
• Inspire Family Services LLC

  • Community/Behavioral Health Agency
  • Chesterfield, VA
  • NPI 1710575816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1508405283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38031",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232310831",
            "telephone_number": "804-252-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL RD STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353217",
            "telephone_number": "804-658-6760",
            "fax_number": "804-658-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JOHNATHAN",
        "middle_name": "HAYES",
        "credential": "LPC, LSATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000640",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Louise Wattie
• Karen Wawrzyn, MS OTL CHT
• Liana Marie Waybright, LCSW, MS, RD
• Thomas Christian Weart, M.D.
• Heather Guydo Weaver, O.D
• Krystalyn Weaver, PHARMD
• Jessica Webb
• Mary Webb, LABA
• Drew Weber, DPT
• Melissa C Webster

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.