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: August 02, 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

Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 8

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

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 7 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.