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

Stephen Paul Weaver

Individual provider Marriage & Family Therapist · NPI 1427543263

Stephen Paul Weaver is a Marriage and Family Therapist in Fort Wayne, Indiana. Qualified in 2018, 8 years ago. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

4150 Illinois Rd
Fort Wayne, IN 46804-1208
Phone: (877) 594-9204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3500214A (IN)

Record details

NPI number1427543263
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address4150 Illinois Rd, Fort Wayne, IN 46804-1208

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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