Marsha Weatherly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16990 Issued in NC

Practice address

4209B Whitehurst Dr
Wilmington, NC 28409-4857

Phone

(910) 616-8246

NPI assigned

Apr 26, 2019

Last updated

Aug 25, 2023By the provider in NPPES

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

Other identifiers 1

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713

  Mental Health

  Medicare reassignment NPD
• Healing Hope Inc

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1972067759

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Easter Seals Ucp North Carolina & Virgiinia, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1871647503
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1871157636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 WHITEHURST DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094857",
            "telephone_number": "910-616-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209B WHITEHURST DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094857",
            "telephone_number": "910-616-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "MARSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22954",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972067759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Watson, M.D.
• Starr Benson Watson, PTA
• Linda M Watts, CRNA
• Shannah Riley Wayne
• David Allen Weatherford, M.D.
• Thomas Anthony Weathers, LCAS/LCSW
• Jonna Weathington, MSW, LCSW-A
• Andrew Wilson Weaver, FNP
• David Ellis Weaver, MD
• Edward Weaver Jr., O.D.

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, 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 Aug 25, 2023; 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.