Rose Marie Weaver, CADC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A3727897 Issued in CA

Practice address

15850 A Dam Road
Clearlake, CA 95422

Phone

(707) 994-6447

Fax

(707) 994-1875

NPI assigned

Feb 2, 2007

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

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.

• Lake County Community Action Agency

  dba New Beginnings Highlands High School

  • Community/Behavioral Health Agency
  • Clearlake, CA
  • NPI 1235464496
  NPD (past)
• Lake County Office of Education

  • Local Education Agency (LEA)
  • Clearlake, CA
  • NPI 1982404828
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1699813469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 DAM RD SPC 39",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229787",
            "telephone_number": "707-995-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 A DAM ROAD",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "95422",
            "telephone_number": "707-994-6447",
            "fax_number": "707-994-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CADC-II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A3727897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-1979)
• Dow Edwin Walton
• Janice Warne
• Amber Warner, LCSW
• Jacob Warner
• John Alden Weeks, M.D.
• Cheyenne Raye West, SUDRC
• Daniel Michael Wheeler, RASI
• Rebecca Sue Whitmire
• Judy Wilhite

• Addiction (Substance Use Disorder) Counselor in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.