MR. MARK SHANNON WEAVER (NPI# 1508928680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508928680 |
| Entity Type | Individual |
| Full Name | MR. MARK SHANNON WEAVER |
| Credential | MS, LPC |
| Practice Address |
2000 Yonkers Rd Raleigh NC 27604-2258 |
| Mailing Address |
104 Ashley Rd Apex NC 27539-9353 |
| Practice Telephone | 9198967536 |
| Mailing Telephone | 9193278730 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 3471 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3471 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 142CE | 01 |
| NC | 6102622 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033246343 | Mark A. Weaver | Optometrist | 1001 Buchanan Dr Ste 3, Burnet, TX 78611-2329 | 2007-02-27 |
| 1124138755 | Mark S Weaver | Dentist | 4638 Westgate Blvd, Austin, TX 78745-1461 | 2006-08-30 |
| 1295722080 | Mark E Weaver | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2005-10-05 |
| 1558926154 | Mark Alan Weaver | Peer Specialist | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-05-08 |
| 1033614854 | Mark Kainbridge Weaver | Student in an Organized Health Care Education/Training Program | 1250 E 66th St, Savannah, GA 31404-5704 | 2018-03-25 |
| 1801274600 | Mark Weaver | Physician Assistant | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2015-05-12 |
| 1154608180 | Mark Edwin Weaver | General Practice | 158 Wetherby Ln, Westerville, OH 43081-4957 | 2011-11-04 |
| 1194005090 | Mark Alexander Weaver | Specialist/Technologist | 325 Cherry Ave, Mc Kenzie, TN 38201-1769 | 2011-08-23 |
| 1801949045 | Mark L Weaver | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2007-01-19 |
| 1982796678 | Mark T. Weaver | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2006-09-29 |
| Street Address |
2000 YONKERS RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801856265 | Monica Hauck Lavery | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2006-03-27 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1881169100 | Faith Borden | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-10-13 |
| 1902388861 | Olatunde D Howard | Marriage & Family Therapist | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-09-06 |
| 1841770310 | Shontee Williams | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-08-15 |
| 1245725878 | Bethany Collins | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604 | 2018-06-26 |
| 1558855106 | Vivian Hurlston Gonzalez | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-06-18 |
| 1245721224 | Johnathan Morgan | Social Worker | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-05-24 |
| 1346749538 | William Dees | Counselor | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2018-02-02 |
| 1770093973 | Kim Joy Gamble | Counselor | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on MR. MARK SHANNON WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.