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MARY WEAVER MS, LCMHC
NPI 1497489207
Counselor - Mental Health in Clemmons, NC

Active since July 16, 2022
2554 LEWISVILLE CLEMMONS RD STE 304, CLEMMONS, NC 27012(404) 721-5994 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, Jul 16, 2022 (2 updates tracked since 2022).

About Mary Weaver Ms, Lcmhc NPPES

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

MARY WEAVER MS, LCMHC (NPI 1497489207) is an individual mental health provider in Clemmons, North Carolina, licensed in North Carolina (A17693) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1497489207
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY WEAVERCredential: MS, LCMHC
Location Address2554 LEWISVILLE CLEMMONS RD STE 304Clemmons, NC 27012-8749
Mailing Address2554 Lewisville Clemmons Rd Ste 304Clemmons, NC 27012-8749
Phone(404) 721-5994
Sole ProprietorYes
Enumeration DateJuly 16, 2022
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1497489207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A17693
2554 LEWISVILLE CLEMMONS RD STE 304, Clemmons, NC 27012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SHADYBROOK PSYCHOLOGICAL SERVICES PLLC
Psychologist (Clinical)
2554 LEWISVILLE CLEMMONS RD STE 304
CLEMMONS, NC 27012
Forsyth County (636) 487-7654
HOPEFUL COUNSELING PLLC
Counselor (Mental Health)
2554 LEWISVILLE CLEMMONS RD STE 304
CLEMMONS, NC 27012
Forsyth County (336) 448-3910

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 Mary Weaver's NPI number?

The NPI number for Mary Weaver is 1497489207. It was assigned to this individual provider in the NPPES registry on July 16, 2022.

Where is Mary Weaver located?

Mary Weaver practices at 2554 Lewisville Clemmons Rd Ste 304, Clemmons, NC 27012. The listed phone number is (404) 721-5994.

What is Mary Weaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Weaver was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.