MRS. EBONY WEAVER MS, NCC, LPC
NPI 1356995773
Counselor - Professional in Scranton, PA

Q: What is Ebony Weaver's NPI number?

The NPI number for Ebony Weaver is 1356995773. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Ebony Weaver's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Weaver was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 25, 2019PECOS EnrolledAccepts Medicare Assignment

300 MULBERRY ST STE 201, SCRANTON, PA 18503(570) 955-5549(570) 955-5528 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Mar 11, 2025, Jul 25, 2019 (3 updates tracked since 2019).

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About Mrs. Ebony Weaver Ms, Ncc, Lpc NPPES

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

MRS. EBONY WEAVER MS, NCC, LPC (NPI 1356995773) is an individual professional provider in Scranton, Pennsylvania, licensed in Pennsylvania (PC019583) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356995773

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. EBONY WEAVERCredential: MS, NCC, LPC

Location Address300 MULBERRY ST STE 201Scranton, PA 18503-1233

Mailing Address300 Mulberry St Ste 201Scranton, PA 18503-1233 · (570) 955-5479 · Fax (570) 955-5528

Phone(570) 955-5549

Fax(570) 955-5528

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 25, 2019

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1356995773 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 PA · PC019583

300 MULBERRY ST STE 201, Scranton, PA 18503

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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 and accepts Medicare assignment

Mrs. Ebony Weaver Ms, Ncc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890289201

PECOS Enrollment IDI20251212002773

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.

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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.

MRS. MINDY A WHITE MS

Counselor (Professional)