Lakendra Shardae Weaver, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89920 Issued in TX

Practice address

4683 Betts Dr Ste 403
Grand Prairie, TX 75052-1807

Phone

(214) 842-5561

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Embrace 2 Empower, PLLC

  • Mental Health Counselor
  • Grand Prairie, TX
  • NPI 1528819604
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1619681038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BOTHAM JEAN BLVD APT 1234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151032",
            "telephone_number": "214-842-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4683 BETTS DR STE 403",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521807",
            "telephone_number": "214-842-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LAKENDRA",
        "middle_name": "SHARDAE",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clesandra Watson-Robertson, DC
• Larry Dan Watson, MSSW
• Brandy Toyai Watts, LPC
• We Shine Inc.
• Amber Rae Weaver, COTA
• Mary Ann Weaver, MD
• Ronshawda Webb-Bias, LCSW
• Anne K Webb, O.D.
• Lindy Jane-Dokken Weiner, M.S.
• Well With in My Space LLC

• Mental Health Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.