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Benjamin Kenneth Weaver

Counselor - Professional β€’ Canton, OH

Active NPI 1720618937 Individual Practitioner Male Practitioner
Practice location in NPPES

4522 Fulton Dr Nw
Canton, OH 447182332

Call 3309152907 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Organization at the Same NPPES Address or Phone
Wellness Grove, Llc Facility NPI 1043899859

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Toledo, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

312 active clinicians are listed under Counselor - Professional with a practice address in Canton, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

2.9% of these 312 clinicians have the CMS telehealth indicator.

12.8% of these 312 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2304963
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

6629 W Central Ave

Toledo, OH 436171098

Phone: 4199307782

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Gina Bowers , LISW-S

Social Worker - Clinical

NPI 1942750666

LISWS

Pamela Ebert , LPCC-S

Counselor - Mental Health

NPI 1467711580

LPCCS

Kellie King Feciuch , LPCC-S

Counselor - Mental Health

NPI 1609148824

LPCCS

Madeline Skemp , LPCC-S

Counselor - Mental Health

NPI 1427509900

LPCCS

Paige Wallace , LPCC-S, CCATP

Counselor - Mental Health

NPI 1376157115

LPCCS, CCATP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location January 30, 2024

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ“
Updated Business Mailing Address January 30, 2024

Registered at 4200 MUNSON ST NW STE A, CANTON, OH 447182981 (Tel: 3309152907)

πŸ“
Updated Practice Location March 17, 2023

Registered at 6629 W CENTRAL AVE, TOLEDO, OH 436171098 (Tel: 4199307782)

πŸ“
Updated Business Mailing Address March 17, 2023

Registered at 6629 W CENTRAL AVE, TOLEDO, OH 436171098 (Tel: 4199307782)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2023

Counselor (license number reported to NPPES: OH C.2304963)

βœ…
NPI Profile Active January 16, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 16, 2020

Registered at 1010 N PROSPECT ST, BOWLING GREEN, OH 434021335 (Tel: 4194754449)

πŸ“
Business Mailing Address (Initial Record) January 16, 2020

Registered at 1010 N PROSPECT ST, BOWLING GREEN, OH 434021335 (Tel: 4194754449)

πŸ‘€
Provider Name / Credentials (Initial Record) January 16, 2020

Recorded as BENJAMIN WEAVER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2020

Community Health Worker

🟒
Initial NPI Registration & Enumeration January 16, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720618937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2020
Last Update: January 30, 2024
Sole Proprietor: Yes

Mailing Address

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.