Thomas Anthony Weathers, LCAS/LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1984 Issued in NC

Practice address

1776 Wellington Ave Ste 2
Suite a
Wilmington, NC 28403-6075

Phone

(910) 799-5452

Fax

(855) 420-6032

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1750654620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "DUBLIN",
            "state": "NC",
            "postal_code": "283320092",
            "telephone_number": "910-876-3228",
            "fax_number": "855-420-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 WELLINGTON AVE STE 2",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036075",
            "telephone_number": "910-799-5452",
            "fax_number": "855-420-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "credential": "LCAS/LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1984",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C008509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE PRACTICE BOARD",
            "identifier": "1984",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF SOCIAL WORKERS",
            "identifier": "C008509",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Andrew Watts
• Linda M Watts, CRNA
• Shannah Riley Wayne
• David Allen Weatherford, M.D.
• Marsha Weatherly
• Jonna Weathington, MSW, LCSW-A
• Andrew Wilson Weaver, FNP
• David Ellis Weaver, MD
• Edward Weaver Jr., O.D.
• Craig Elbert Webb, P.A.

• Addiction (Substance Use Disorder) Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.