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Eric Weaver , BACHELORS

Counselor • Wyoming, RI

Active NPI 1124430442 Individual Practitioner Male Practitioner
Practice location in NPPES

15 Baker Pine Rd
Wyoming, RI 028981000

Call 4017248400 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

15 Baker Pine Rd

Wyoming, RI 028981000

Telephone 4017248400
Fax 4017225280
Organization at the Same NPPES Address or Phone
Gateway Healthcare, Inc Facility NPI 1033137211

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

NPI first issued

2014

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, “Does 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 Wyoming and Rhode Island

1 active clinicians are listed under Counselor with a practice address in Wyoming, RI (412 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

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

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
GH57134 (RI)

Clinicians Sharing This Practice Address or Phone

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

7 listed
Dr. Nicholas Gelormini , MD

Psychiatry & Neurology - Psychiatry

NPI 1992970248

Doctor of Medicine (M.D.)

Nicole Helger , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1619393048

Nurse Practitioner

Kellie Moreau-Walshe , LICSW

Social Worker - Clinical

NPI 1801244140

Licensed Independent Clinical Social Worker

NPI 1467875633
Johnna Pratt , LICSW

Social Worker - Clinical

NPI 1245345156

Licensed Independent Clinical Social Worker

Dr. Pedro Tactacan , MD

Psychiatry & Neurology - Psychiatry

NPI 1871503425

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 21, 2014.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124430442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2014
Last Update: May 22, 2014
Sole Proprietor: No

Mailing Address

15 Baker Pine Rd

Wyoming, RI 028981000

Phone: 4017248400

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.