Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristi Ann Weaver

Individual provider Professional Counselor · NPI 1053669903

Kristi Ann Weaver is a Mental Health Counselor in Carbondale, Illinois. Qualified in 2008, 18 years ago. Practices with Therapeutic Education and Career Services Inc, a 7-clinician group, works from 2 locations and offers telehealth. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2311 S Illinois Ave
Carbondale, IL 62903-5912
Phone: (618) 457-6703
Fax: (618) 549-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 W Market St, Bloomington, IL 61701-3918 — (309) 827-5351

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.009792 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180009792 (IL)

Record details

NPI number1053669903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2012
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1190 Grand Oak Dr, Carbondale, IL 62901-5474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Therapeutic Education And Career Services Inc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Carbondale