KRISTI ANN WEAVER – Mental Health Counselor, NPI 1053669903
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,308 MENTAL HEALTH COUNSELOR in IL
Provider Addresses for KRISTI ANN WEAVER
108 W Market St
Bloomington, IL 617013918
Phone: (309) 827-5351
Fax: (309) 829-6808
Type: Location
109 CALIFORNIA ST
PO BOX 577
CARTERVILLE, IL 62918
Phone: (618) 519-9200
Fax: (618) 985-4635
Type: Mailing
400 S LEWIS LN
CARBONDALE, IL 629013547
Phone: (618) 519-9200
Fax: (618) 519-9961
Type: Location
1190 GRAND OAK DR
CARBONDALE, IL 629015474
Phone: (618) 534-0607
Type: Mailing
2311 S ILLINOIS AVE
CARBONDALE, IL 629035912
Phone: (618) 457-6703
Fax: (618) 549-3734
Type: Location
902 W MAIN ST
WEST FRANKFORT, IL 628962210
Phone: (618) 937-6483
Fax: (618) 937-1440
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240530001751 | I | Mental Health Counselor | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61701)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| - | IL | |
| - | MO | |
| Mental Health Counselor | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.