Andrea Weaver, LCMHC, NCC, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14585 Issued in NC

Practice address

855 Sam Newell Rd Ste 100
Matthews, NC 28105-7593

Phone

(704) 360-3637

Fax

(704) 321-4940

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Integrative Wellness Solutions, PLLC

  dba LifeStance Health

  • Psychologist
  • Mooresville, NC
  • NPI 1447760871
  Medicare reassignment Care Compare group
• Center for Emotional Health

  • Addiction Psychiatry Physician
  • Gastonia, NC
  • NPI 1174922348
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1780148908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SAM NEWELL RD STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057593",
            "telephone_number": "704-360-3637",
            "fax_number": "704-321-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAM NEWELL RD STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057593",
            "telephone_number": "704-360-3637",
            "fax_number": "704-321-4940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Gateway Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281175544",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ANDREA",
        "credential": "LCMHC, NCC, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25207",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Vaughn Ward, D.P.M.
• Kimberly Ward, LCMHCA
• David Hudson Warren
• Regan Elizabeth Waters, LCMHCA
• Nicole Waugh
• Martha Addison Weaver
• Rachael Zdaniewicz Weaver, PA-C
• Shantele K Weaver, LPC
• Heidi Weilbach, M.D.
• Bradley Kent Weisner, M.D.

• Mental Health Counselor in Matthews, NC
• Providers in Matthews, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.