Individual provider Active NPI

Kristen Angelica Weibe, LCMHCA

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1831909563
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A20590 Issued in NC
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

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A20590NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Paws, PLLC CurrentSince Jan 19, 2025 Accepting new patients
Healthy Resolutions Clinic PLLC CurrentSince Jan 19, 2025 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.

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.

Verify at the official NPI Registry.