MR. ERIC THOMAS WEAVER (NPI# 1740818509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740818509 |
| Entity Type | Individual |
| Full Name | MR. ERIC THOMAS WEAVER |
| Credential | LPC |
| Practice Address |
2744 Castle Bluff Ct Se Kentwood MI 49512-8083 |
| Mailing Address |
2744 Castle Bluff Ct Se Apt 101 Kentwood MI 49512-2759 |
| Practice Telephone | 3304205655 |
| Mailing Telephone | 3304205655 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401015567 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS | 6401015567 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078112 | Eric Paul Weaver II | Physical Therapist | 8345 Coral Way, Miami, FL 33155-1138 | 2006-01-23 |
| 1538604608 | Eric Weaver | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, The Johns Hopkins Hospital, Baltimore, MD 21287-0005 | 2016-12-28 |
| 1124430442 | Eric Weaver | Counselor | 15 Baker Pine Rd, Wyoming, RI 02898-1000 | 2014-05-21 |
| 1265621544 | Eric Michael Weaver | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919 | 2007-10-23 |
| 1023231008 | Eric R Weaver | Family Medicine | 230 W Oak St, Fremont, MI 49412-1575 | 2007-04-10 |
| 1881717346 | Eric Thomas Weaver | Marriage & Family Therapist | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2007-04-09 |
| 1841376951 | Eric J Weaver | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-10-31 |
| Street Address |
2744 CASTLE BLUFF CT SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-8083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523976 | Divine Mind Counseling and Consulting Services | Counselor | 2450 44th St Se Ste 205, Kentwood, MI 49512-9081 | 2020-09-16 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1184096158 | Julian Lowe | Counselor | 384 Torrence Ln, Kentwood, LA 70444-8283 | 2015-10-29 |
| 1659828051 | Jasmine Smith | Counselor | 1307 3rd St, Kentwood, LA 70444-3319 | 2016-09-02 |
| 1629135033 | Samantha Price | Counselor | 3180 E Paris Ave Se, Kentwood, MI 49512-1926 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.