Active NPI
Mary Weber, LMFT
- Marriage & Family Therapist
- Chapel Hill, NC
National Provider Identifier
1871813824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT97530
- Practice address
- 2204 Winterberry Dr
Chapel Hill, NC 27514-9779 - Phone
- (909) 833-5071
- NPI assigned
- Jun 1, 2010
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT97530 | CA | Primary |
Addresses
Primary practice location
2204 Winterberry Dr
Chapel Hill, NC 27514-9779
Mailing address
2204 Winterberry Dr
Chapel Hill, NC 27514-9779
Phone (909) 833-5071
Other names 1
- Mary Weber Clark
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 |
|---|---|---|---|
| LMFT97530 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Bowling Green, KY
- NPI 1669401816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1871813824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 WINTERBERRY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275149779",
"telephone_number": "909-833-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 WINTERBERRY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275149779",
"telephone_number": "909-833-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MARY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT97530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "CLARK",
"middle_name": "WEBER",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.