Individual provider

Kristi Weaver

Mental Health Counselor Professional Counselor Medicare enrolled

Kristi Weaver is a Mental Health Counselor in Carbondale, IL, registered under NPI 1053669903. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2311 S ILLINOIS AVE, Carbondale, IL 62903. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2311 S ILLINOIS AVE, Carbondale, IL 62903 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
180.009792 IL Mental Health Counselor primary
180009792 IL Professional Counselor

This provider holds licence 180.009792 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
4688016025

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health 180.009792 IL primary
101YP2500X Professional Counselor Professional 180009792 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053669903 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 27, 2012
Last updatedApr 16, 2024
StatusActive
Sole proprietorNo
Practice address 2311 S ILLINOIS AVE
Carbondale, IL 62903
(618) 457-6703
Fax (618) 549-3734
Mailing address 1190 GRAND OAK DR
Carbondale, IL 62901
This record was updated on Apr 16, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1053669903 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 6 6 9 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 3 6 9 9 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053669903?
NPI 1053669903 is the National Provider Identifier assigned to Kristi Weaver in Carbondale, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Kristi Weaver?
The phone number on file with NPPES is (618) 457-6703, last updated Apr 16, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristi Weaver accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053669903 a valid number?
Yes. 1053669903 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.