Active NPI
Kristen Angelica Weibe, LCMHCA
- Counselor
- Fayetteville, NC
National Provider Identifier
1831909563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A20590
- Practice address
- 2005 Hope Mills Rd
Fayetteville, NC 28304-4224 - Phone
- (910) 635-1685
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A20590 | NC | Primary |
Addresses
Primary practice location
2005 Hope Mills Rd
Fayetteville, NC 28304-4224
Mailing address
1415 Blue Ribbon LN
Hope Mills, NC 28348-7535
Phone (910) 627-6312
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 |
|---|---|---|---|
| A20590 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Paws, PLLC | Current | Accepting new patients | |
| Healthy Resolutions Clinic PLLC | Current | Accepting new patients |
Locations
2005 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 257-0573
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1841811593
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
- NPI 1467184663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1831909563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BLUE RIBBON LN",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283487535",
"telephone_number": "910-627-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044224",
"telephone_number": "910-635-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIBE",
"first_name": "KRISTEN",
"middle_name": "ANGELICA",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A20590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.