MARK ALAN WEEDON LMFT-A
NPI 1780343202
Marriage & Family Therapist in Bryan, TX

Q: What is Mark Weedon's NPI number?

The NPI number for Mark Weedon is 1780343202. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Q: What is Mark Weedon's specialty?

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

Q: Is Mark Weedon enrolled in Medicare?

No. Mark Weedon has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mark Weedon was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 13, 2021Opted out of Medicare · through Jan 23, 2028

2490 BOONVILLE RD, BRYAN, TX 77808(979) 571-6216 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Alan Weedon Lmft-a NPPES

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

MARK ALAN WEEDON LMFT-A (NPI 1780343202) is an individual marriage & family therapist in Bryan, Texas, licensed in Texas (204063) and active in the NPI registry since December 2021. He has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1780343202

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMARK ALAN WEEDONCredential: LMFT-A

Location Address2490 BOONVILLE RDBryan, TX 77808-2326

Mailing Address5273 Fm 1179Bryan, TX 77808-7248 · (979) 571-6216

Phone(979) 571-6216

Sole ProprietorYes

Enumeration DateDecember 13, 2021

NPPES CertifiedDecember 13, 2021

✔ NPI 1780343202 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 TX · 204063

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.

2490 BOONVILLE RD, Bryan, TX 77808

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Alan Weedon Lmft-a 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 January 23, 2024 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2024

Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

MRS. ALLYSON INGALLS

Counselor (Mental Health)