Active NPI
Jordon Wayne Weaver
- Mental Health Counselor
- Marion, NC
National Provider Identifier
1649937368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A22294
- Practice address
- 136 Creekview CT
Marion, NC 28752-6519 - Phone
- (843) 287-2650
- NPI assigned
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- No
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 | A22294 | NC | Primary |
Addresses
Primary practice location
136 Creekview CT
Marion, NC 28752-6519
Mailing address
686 Lytle Mountain Rd
Marion, NC 28752-8482
Phone (843) 287-2650
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 |
|---|---|---|---|
| A22294 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1649937368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 LYTLE MOUNTAIN RD",
"city": "MARION",
"state": "NC",
"postal_code": "287528482",
"telephone_number": "843-287-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CREEKVIEW CT",
"city": "MARION",
"state": "NC",
"postal_code": "287526519",
"telephone_number": "843-287-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JORDON",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-17",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A22294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, NC
- Erin Madison Ward, FNP-C
- R. Eric Ward, MA, LPC
- Judy Watring, LPN
- William Shad Watson, PHARMD
- Bridget Waycaster, NCCPSS, CADC-I
- Hannah Shaw Webber, LCMHCA
- James C. Weegar, PA
- Western North Carolina Community Health Services, Inc.
- Western North Carolina Community Health Services, Inc.
- Jacqueline Nicole Wheeler, PA-C, SA-C, MSOTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.