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

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: October 25, 2026.

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

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 Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristi Weaver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapeutic, Education, And Career Services, Inc.
17 mi
Counselor
4505 W DE YOUNG ST, STE 203 C
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1043631351 (618) 292-1663

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (629) 278-2696
LEVI WAMPLER
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
GAGE MCPHAIL BA
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
MEGAN BILY BS
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
MADISON ODUM
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
BEN HENSHAW BSN
Registered Nurse
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
DARRELL STAMPER BA
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
ALEXIS BROOKS MSW
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (855) 608-3560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kristi Weaver located?

Kristi Weaver practices at 2311 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 457-6703.

What is Kristi Weaver's specialty?

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

Is Kristi Weaver enrolled in Medicare?

Yes. Kristi Weaver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristi Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Weaver reassigns Medicare benefits to Therapeutic, Education, And Career Services, Inc. (Marion, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristi Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristi Weaver accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Molina Healthcare and 1 other insurer list Kristi Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.