KRISTI ANN WEAVER
NPI 1053669903
Counselor - Mental Health in Carbondale, IL

NPI Status: Active since August 27, 2012

Contact Information

2311 S ILLINOIS AVE
CARBONDALE, IL
ZIP 62903
Phone: (618) 457-6703
Fax: (618) 549-3734

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  • Individual
  • Female
  • Years of Experience 18
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTI WEAVER

This page provides the complete NPI Profile along with additional information for Kristi Weaver, a provider established in Carbondale, Illinois with a medical specialization in Counselor, focusing in mental health and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1053669903 assigned on August 2012. The practitioner's primary taxonomy code is 101YM0800X with license number 180.009792 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1053669903
Provider Name
KRISTI ANN WEAVER
Other Name
MRS. KRISTI HALFOND LCPC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2311 S ILLINOIS AVE CARBONDALE, IL 62903
Location Phone
(618) 457-6703
Location Fax
(618) 549-3734
Mailing Address
1190 GRAND OAK DR CARBONDALE, IL 62901
Mailing Phone
(618) 534-0607
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
08-27-2012
Last Update Date
04-16-2024
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A mental health counselor like Kristi Weaver provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
180.009792
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

180009792 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kristi Weaver is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kristi Weaver is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4688016025

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240530001751

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KRISTI ANN WEAVER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053669903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031261890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 6 + 1 + 8 + 9 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1053669903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275994634CENTERSTONE OF ILLINOIS
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 937-6483
1124498522 AIREAL DEE WEBER M.A.
Individual
Counselor (Mental Health)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1356686018MS. TAMRA G. HORN RN
Individual
Registered Nurse2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1790253268 ELSIE FAROUGH
Individual
Social Worker (Clinical)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1609344308 ALLISON LENCE
Individual
Registered Nurse2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1447890199 NICHOLAS FOY MSW
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1053934489 MATTHEW PICCHIETTI
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1720677248 KATINA BEANE
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 519-9444
1013509744 LEVI WAMPLER
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 615-9754
1316282130CENTERSTONE OF ILLINOIS, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 937-6483
1457934101 KENYA WALKER
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1912671884 BONNIE ROONEY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1326717299 JAYLYNN JONES
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1952666356MR. TIMOTHY SCOTT RITTENHOUSE LCPC
Individual
Counselor (Professional)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1760124390 DINA BILLINGSLEY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1134851819 EVAN DOUGHTY
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(855) 608-3560
1053045336 ALEXIS BROOKS MSW
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(855) 608-3560
1679207385 VANESSA MIRANDA BA
Individual
Counselor2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1952761835 JULIE BAILEY
Individual
Counselor (Professional)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703
1376279943 ALEXIS ELAYNE SPARKS MA, LCPC
Individual
Counselor (Mental Health)2311 S ILLINOIS AVE
CARBONDALE, IL 62903
(618) 457-6703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053669903, enumerated in the NPI registry as an "individual" on August 27, 2012

The provider is located at 2311 S Illinois Ave Carbondale, Il 62903 and the phone number is (618) 457-6703

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 18 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on August 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.