Active NPI
Roger W Merritt, BE, LPC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1023203783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6727
- Practice address
- 725 Highland Ave
2ND Floor
Winston Salem, NC 27101-4206 - Phone
- (336) 607-8501
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6727 | NC | Primary |
Addresses
Primary practice location
725 Highland Ave
2ND Floor
Winston Salem, NC 27101-4206
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3220
Phone (919) 256-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor or Engineering
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6727 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1023203783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 FAIRHILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123220",
"telephone_number": "919-256-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HIGHLAND AVE",
"address_2": "2ND FLOOR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014206",
"telephone_number": "336-607-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "ROGER",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "BE, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.