Individual provider Active NPI

Nicole Weaver, LPC

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1912671983
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015978 Issued in VA
Practice address
20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394
Phone
(844) 863-4621
Fax
(804) 447-3352
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701015978 VA Primary
Professional Counselor 101YP2500X E.2505400 OH

Addresses

Primary practice location

20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394

Mailing address

20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394
Phone (844) 863-4621

Other practice location 1

130 1st St NW
Massillon, OH 44647-5452
Phone (330) 833-0234

Other identifiers 1

IdentifierTypeStateIssuer
0454249MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250618003075 OH Practitioner - Mental Health Counselor 5395256044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commquest Services, Inc.Group PAC ID 9335110824, 22 clinicians

Practice addresses (Care Compare)

130 1St St NW
Massillon, OH 44647-5452
Phone (330) 833-0234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2505400OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commquest Services, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Commquest Services, Inc. CurrentSince Jun 2, 2025 Accepting new patients

Locations

625 Cleveland Ave NW
Canton, OH 44702
Phone (330) 445-2677

130 1st St NW
Massillon, OH 44647
Phone (330) 833-0234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1912671983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL STE 255",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473394",
            "telephone_number": "844-863-4621",
            "fax_number": "804-447-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL STE 255",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473394",
            "telephone_number": "844-863-4621",
            "fax_number": "804-447-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446475452",
            "country_code": "US",
            "telephone_number": "330-833-0234",
            "fax_number": "330-837-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015978",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.