JESSICA WEAVER MS
NPI 1093327322
Counselor in Marion, IL

Q: What is Jessica Weaver's NPI number?

The NPI number for Jessica Weaver is 1093327322. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Q: What is Jessica Weaver's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Weaver was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 18, 2020PECOS Enrolled

4505 W DEYOUNG ST STE 203C, MARION, IL 62959(618) 283-2222 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jessica Weaver Ms NPPES

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

JESSICA WEAVER MS (NPI 1093327322) is an individual counselor in Marion, Illinois and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093327322

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJESSICA WEAVERCredential: MS

Location Address4505 W DEYOUNG ST STE 203CMarion, IL 62959-5899

Mailing Address4505 W Deyoung St Ste 203cMarion, IL 62959-5899 · (618) 283-2222

Phone(618) 283-2222

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 18, 2020

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1093327322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

4505 W DEYOUNG ST STE 203C, Marion, IL 62959

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4486152386

PECOS Enrollment IDI20250826003855

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 12

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

ANDREA CAROLINE LOPEZ SSP, NCSP

Psychologist (School)