MRS. KELLY JEAN WEAVER MED, EDS, LPC
NPI 1063594034
Counselor - Professional in Lexington, SC

Active since October 19, 2006Opted out of Medicare · through Aug 5, 2027
224 E MAIN ST, LEXINGTON, SC 29072(803) 808-5222(803) 957-2042 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly Jean Weaver Med, Eds, Lpc NPPES

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

MRS. KELLY JEAN WEAVER MED, EDS, LPC (NPI 1063594034) is an individual professional provider in Lexington, South Carolina, licensed in South Carolina (2760) and active in the NPI registry since October 2006. She has opted out of Medicare through August 5, 2027.

NPPES Registry Identity

NPI1063594034
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLY JEAN WEAVERCredential: MED, EDS, LPC
Location Address224 E MAIN STLexington, SC 29072-3546
Mailing Address224 E Main StLexington, SC 29072-3546 · (803) 808-5222 · Fax (803) 957-2042
Fax(803) 957-2042
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063594034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 2760
224 E MAIN ST, Lexington, SC 29072

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kelly Jean Weaver Med, Eds, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 5, 2025 through August 5, 2027.

Opt-Out Effective DateAugust 5, 2025
Opt-Out In Effect ThroughAugust 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Marriage & Family Therapist
224 E MAIN ST
LEXINGTON, SC 29072
Social Worker (Clinical)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072
Counselor (Professional)
224 E MAIN ST
LEXINGTON, SC 29072

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 Kelly Weaver's NPI number?

The NPI number for Kelly Weaver is 1063594034. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kelly Weaver located?

Kelly Weaver practices at 224 E Main St, Lexington, SC 29072. The listed phone number is (803) 808-5222.

What is Kelly Weaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Weaver enrolled in Medicare?

No. Kelly Weaver has opted out of Medicare through August 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Weaver accept?

Health plans from Providence Health Plan and UnitedHealthcare list Kelly 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 Kelly Weaver was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.