SHANTELE K WEAVER LPC
NPI 1780566059
Counselor - Mental Health in Matthews, NC

Active since July 25, 2025PECOS EnrolledAccepts Medicare Assignment
855 SAM NEWELL RD STE 100, MATTHEWS, NC 28105(704) 360-3637 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shantele K Weaver Lpc NPPES

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

SHANTELE K WEAVER LPC (NPI 1780566059) is an individual mental health provider in Matthews, North Carolina, licensed in North Carolina (22276) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780566059
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTELE K WEAVERCredential: LPC
Location Address855 SAM NEWELL RD STE 100Matthews, NC 28105-7593
Mailing Address855 Sam Newell Rd Ste 100Matthews, NC 28105-7593 · (704) 360-3637
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 25, 2025
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1780566059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 22276✔ Licensed in PA · PC018916
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 22276 (NC)
855 SAM NEWELL RD STE 100, Matthews, NC 28105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shantele K Weaver 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 ID5890272413
PECOS Enrollment IDI20260124000095
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shantele Weaver reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Psychiatry & Neurology (Psychiatry)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105

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 Shantele Weaver's NPI number?

The NPI number for Shantele Weaver is 1780566059. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Shantele Weaver located?

Shantele Weaver practices at 855 Sam Newell Rd Ste 100, Matthews, NC 28105. The listed phone number is (704) 360-3637.

What is Shantele Weaver's specialty?

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

Is Shantele Weaver enrolled in Medicare?

Yes. Shantele Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shantele Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantele Weaver reassigns Medicare benefits to 3 organizations: Integrative Wellness Solutions, PLLC (Mooresville, NC), Curana Health Of North Carolina PLLC (Durham, NC) and Physicians Eldercare PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shantele Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shantele Weaver accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Shantele Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shantele Weaver was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.