NICOLE WEAVER (NPI# 1790265726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265726 |
| Entity Type | Individual |
| Full Name | NICOLE WEAVER |
| Practice Address |
618 Cumberland St Lebanon PA 17042-5232 |
| Mailing Address |
200 N 7th St Lebanon PA 17046-5040 |
| Practice Telephone | 7172742741 |
| Mailing Telephone | 7172725464 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139778 | Nicole Weaver | Physical Therapist | 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 | 2020-09-18 |
| 1043443443 | Nicole Weaver | Counselor | 200 W 7th St Ste 3, Lexington, NE 68850-1891 | 2009-09-01 |
| 1265686430 | Nicole Weaver | Physical Therapy Assistant | 101 Vine Ave, Greenville, PA 16125-1314 | 2008-11-13 |
| 1548895501 | Nicole Margaret Weaver | Counselor | 2049 George Urban Blvd, Depew, NY 14043-1823 | 2020-03-10 |
| 1659918779 | Nicole Weaver | Registered Nurse | 429 Manor Dr Ste 10, Ebensburg, PA 15931-4917 | 2019-12-09 |
| 1891332151 | Nicole Weaver | Specialist/Technologist | Cashell Football Center / Ms 265, Reno, NV 89557-0265 | 2019-12-05 |
| 1154989820 | Nicole Lee Weaver | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2019-05-29 |
| 1689131641 | Nicole Weaver | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2019-02-26 |
| 1700361987 | Nicole Weaver | Social Worker | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-03 |
| 1265915102 | Nicole Alexandra Weaver | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-09-06 |
| Street Address |
618 CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764516 | Angela Marie Strickler | Social Worker | 618 Cumberland St, Lebanon, PA 17042-5232 | 2005-07-20 |
| 1194330498 | Wendy Blauch | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-09-14 |
| 1508471202 | Lorraine Gutierrez | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-09-10 |
| 1669084240 | Elspeth Carter | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-08-17 |
| 1336757186 | Danielle Rooney | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-07-17 |
| 1497363238 | Madelon Bohdal | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-07-17 |
| 1609491455 | Emily Layman | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-06-08 |
| 1508499005 | Ashley Blake | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-02-13 |
| 1669005161 | Lorraine Yost | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-02-13 |
| 1316578305 | Gabriel Lara Totoy | Counselor | 618 Cumberland St, Lebanon, PA 17042-5232 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775162 | Melinda Butterfield | Counselor | 2515 Stoltz Hill Rd, Lebanon, OR 97355-1146 | 2020-03-12 |
| 1073145330 | Jamie L Ralston | Counselor | 5232 W State Route 63, Lebanon, OH 45036-8202 | 2020-02-05 |
| 1114480381 | Courtney Nicole Mudd | Counselor | 65 Old Springfield Rd Ste 2, Lebanon, KY 40033-9185 | 2019-04-12 |
| 1407356892 | Susannah Williams | Counselor | 1700 S Lincoln Ave Fl 3, Lebanon, PA 17042-7529 | 2018-02-13 |
| 1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
| 1407213465 | Benjamin Peavey | Counselor | 1 Hough St, Lebanon, NH 03766-1213 | 2016-01-21 |
| 1093107856 | Leslie D Anders | Counselor | 204 Cook Rd Ste 400, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1063776037 | Tammy Lynn Mattingly | Counselor | 2894 Sam Browning Rd, Lebanon, KY 40033-9114 | 2012-06-25 |
| 1114205739 | Katie Baghli | Counselor | 204 Hathaway Park, Lebanon, PA 17042-6162 | 2011-07-31 |
| Find all providers in LEBANON | ||||
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| 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.