Active NPIIndividual providerSole proprietor

Mr. Jordan C Weaver, LMHC

Counselor, Mental Health in Upton, Massachusetts

NPI Number1861242638
Practice location
6 Depot St, Upton, MA 01568-1600
Fax
—
Last updated
March 25, 2024

Jordan Christopher Weaver is a Counselor, Mental Health based in Upton, MA. Jordan Christopher Weaver practices in Upton, MA and has the professional credentials of LMHC. The NPI Number for Jordan Christopher Weaver is 1861242638 and holds a License No. 9207 (MA). The current practice location address for Jordan Christopher Weaver is 6 Depot St, Upton, MA 01568-1600 and can be reached out via phone at 315-569-1554.

Provider Profile Details

NPI Number
1861242638
Provider Name
Jordan Christopher Weaver
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
6 Depot St, Upton, MA 01568-1600
Phone Number
315-569-1554
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2024
Last Update Date
March 25, 2024
Certification Date
March 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Depot St
Upton, MA 01568-1600
City
Upton
Zip
01568-1600
Phone Number
315-569-1554
Upton, MA 01568Get directions →

Provider Business Mailing Address Details

Address
6 Depot St
Upton, MA 01568-1600
City
Upton
State
MA
Zip
01568-1600
Phone Number
315-569-1554

License Information

License Number
9207
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jordan C Weaver, LMHC?

The NPI number of Mr. Jordan C Weaver, LMHC is 1861242638. It was assigned on March 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Jordan C Weaver, LMHC?

Mr. Jordan C Weaver, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 9207.

Where does Mr. Jordan C Weaver, LMHC practice?

The practice location is 6 Depot St, Upton, MA 01568-1600. The office can be reached at 315-569-1554 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861242638 directly on the NPPES registry website.

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