Courtney M Weaver, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

L2371843 Issued in ID

Practice address

101 E Main St Ste 210
Rexburg, ID 83440-2017

Phone

(208) 357-3104

Fax

(888) 990-2826

NPI assigned

Jan 10, 2025

Sex

Female

Sole proprietor

No

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

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.

• Integrated Counseling and Wellness, Inc.

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1801274790
  NPD (past)

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1699585745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 210",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402017",
            "telephone_number": "208-357-3104",
            "fax_number": "888-990-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 210",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402017",
            "telephone_number": "208-357-3104",
            "fax_number": "888-990-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "L2371843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Elizabeth Ward
• Hillary Rose Wardell, LPC
• Joseph Watson, MD
• Roy Weatherston, RPH
• Jalyce Webb, BSN, RN
• Dan Loren Weber, PA-C
• Lana Marie Weber
• Byron H Webster, MS
• Creed Simon Webster, LCPC

• Social Worker in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Social Worker in Idaho

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

Verify at the official NPI Registry.