STEPHEN PAUL WEAVER
NPI 1427543263
Marriage & Family Therapist in Fort Wayne, IN

Q: What is Stephen Weaver's NPI number?

The NPI number for Stephen Weaver is 1427543263. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Stephen Weaver's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Weaver was last updated on March 20, 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.

Active since June 25, 2018PECOS Enrolled

4150 ILLINOIS RD, FORT WAYNE, IN 46804(877) 594-9204 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephen Paul Weaver NPPES

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

STEPHEN PAUL WEAVER (NPI 1427543263) is an individual marriage & family therapist in Fort Wayne, Indiana, licensed in Indiana (3500214A) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427543263

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameSTEPHEN PAUL WEAVER

Location Address4150 ILLINOIS RDFort Wayne, IN 46804-1208

Mailing Address4150 Illinois RdFort Wayne, IN 46804-1208 · (877) 594-9204

Phone(877) 594-9204

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 25, 2018

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1427543263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IN · 3500214A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4150 ILLINOIS RD, Fort Wayne, IN 46804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8628564895

PECOS Enrollment IDI20251226001987

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 18

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

MR. PHILIP DAVID ERICHSEN MA

Counselor (Mental Health)