KRISTI ANN WEAVER
NPI 1053669903
Counselor - Mental Health in Carbondale, IL

Q: What is Kristi Weaver's NPI number?

The NPI number for Kristi Weaver is 1053669903. It was assigned to this individual provider in the NPPES registry on August 27, 2012. The provider is also known as Mrs. Kristi Halfond Lcpc.

Q: What is Kristi Weaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kristi Weaver was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2012PECOS Enrolled

2311 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-6703(618) 549-3734 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Nov 8, 2023, May 31, 2023 and 2 more (5 updates tracked since 2020).

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About Kristi Ann Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTI ANN WEAVER (NPI 1053669903) is an individual mental health provider in Carbondale, Illinois, licensed in Illinois (180.009792) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053669903

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKRISTI ANN WEAVER

Location Address2311 S ILLINOIS AVECarbondale, IL 62903-5912

Mailing Address1190 Grand Oak DrCarbondale, IL 62901-5474 · (618) 534-0607

Phone(618) 457-6703

Fax(618) 549-3734

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 27, 2012

Last NPPES UpdateApril 16, 20245 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1053669903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.009792

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180009792 (IL)

2311 S ILLINOIS AVE, Carbondale, IL 62903

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Other Names 1

Former Name (1)Mrs. Kristi Halfond Lcpc

Secondary Practice Location 1

Location 1108 W Market StBloomington, IL 61701-3918 · Phone (309) 827-5351 · Fax (309) 829-6808

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristi Ann Weaver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688016025

PECOS Enrollment IDI20240530001751

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MARGARET MACDONALD

Counselor (Mental Health)