CHARLES COULTER WEAVER III LPC, LMFT
NPI 1629487111
Marriage & Family Therapist in Alexandria, VA

Active since August 08, 2014Opted out of Medicare · through Jun 11, 2028
2924 KING ST, ALEXANDRIA, VA 22302(703) 475-2221(703) 684-3407 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Coulter Weaver Iii Lpc, Lmft NPPES

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

CHARLES COULTER WEAVER III LPC, LMFT (NPI 1629487111) is an individual marriage & family therapist in Alexandria, Virginia, licensed in Virginia (0717000869) and active in the NPI registry since August 2014. He has opted out of Medicare through June 11, 2028.

NPPES Registry Identity

NPI1629487111
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCHARLES COULTER WEAVER IIICredential: LPC, LMFT
Location Address2924 KING STAlexandria, VA 22302-3512
Mailing Address5616i Ox Rd Unit 194Fairfax Station, VA 22039-8014 · (703) 475-2221 · Fax (703) 684-3407
Fax(703) 684-3407
Sole ProprietorYes
Enumeration DateAugust 8, 2014
Last NPPES UpdateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
NPI 1629487111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in VA · 0717000869
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701001741 (VA)
2924 KING ST, Alexandria, VA 22302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Charles Coulter Weaver Iii Lpc, Lmft 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 June 11, 2024 through June 11, 2028.

Opt-Out Effective DateJune 11, 2024
Opt-Out In Effect ThroughJune 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Charles Weaver's NPI number?

The NPI number for Charles Weaver is 1629487111. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Charles Weaver located?

Charles Weaver practices at 2924 King St, Alexandria, VA 22302. The listed phone number is (703) 475-2221.

What is Charles Weaver's specialty?

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

Is Charles Weaver enrolled in Medicare?

No. Charles Weaver has opted out of Medicare through June 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Charles Weaver was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.