MRS. KELLY JEAN WEAVER MED, EDS, LPC
NPI 1063594034
Counselor - Professional in Lexington, SC
NPI Status: Active since October 19, 2006
Contact Information
224 E MAIN ST
LEXINGTON, SC
ZIP 29072
Phone: (803) 808-5222
Fax: (803) 957-2042
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About KELLY WEAVER
This page provides the complete NPI Profile along with additional information for Kelly Weaver, a provider established in Lexington, South Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1063594034 assigned on October 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 2760 (SC). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1063594034
- Provider Name
- MRS. KELLY JEAN WEAVER MED, EDS, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 224 E MAIN ST LEXINGTON, SC 29072
- Location Phone
- (803) 808-5222
- Location Fax
- (803) 957-2042
- Mailing Address
- 224 E MAIN ST LEXINGTON, SC 29072
- Mailing Phone
- (803) 808-5222
- Mailing Fax
- (803) 957-2042
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kelly Weaver opted out of Medicare effective on 08-05-2025 until 08-05-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2760
- License State
- SC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Essential- - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard Plus Chiro - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard Plus Chiro - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard- - HMO
- UHC Silver Standard Plus Chiro - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-05-2025
Opt-Out End Date: 08-05-2027
Eligible to Order and Refer? No
Reviews for MRS. KELLY JEAN WEAVER MED, EDS, LPC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063594034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
LEXINGTON, SC 29072
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063594034, enumerated as an "individual" on October 19, 2006.
The provider is located at 224 E MAIN ST LEXINGTON, SC 29072 and the phone number is (803) 808-5222.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Providence Health Plan and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
