Active NPI
Mary McPhatter, LCMHCA
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1023740420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A17463
- Practice address
- 1608 Queen St Ste 3
Wilmington, NC 28401-5527 - Phone
- (919) 790-8580
- Fax
- (919) 866-3255
- NPI assigned
- Jun 26, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A17463 | NC | Primary |
Addresses
Primary practice location
1608 Queen St Ste 3
Wilmington, NC 28401-5527
Mailing address
1608 Queen St Ste 3
Wilmington, NC 28401-5527
Phone (919) 790-8580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17463 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Family Services of North Carolina LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1003284845
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656201600000",
"number": "1023740420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 QUEEN ST STE 3",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015527",
"telephone_number": "919-790-8580",
"fax_number": "919-866-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 QUEEN ST STE 3",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015527",
"telephone_number": "919-790-8580",
"fax_number": "919-866-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHATTER",
"first_name": "MARY",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-26",
"last_updated": "2022-06-26",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.