Charles James Wentz Jr., MA, LCMHCS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5162 Issued in NC

Practice address

601 Lauchwood Dr
Suite B
Laurinburg, NC 28352-5540

Phone

(910) 276-7011

Fax

(910) 276-7060

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland Family Counseling Center, Inc.Group PAC ID 5092157388, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Scotland Family Counseling Center, Inc.

  • Mental Health Counselor
  • Laurinburg, NC
  • NPI 1629356720

  Professional

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1083764534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LAUCHWOOD DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525540",
            "telephone_number": "910-276-7011",
            "fax_number": "910-276-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LAUCHWOOD DR",
            "address_2": "SUITE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525540",
            "telephone_number": "910-276-7011",
            "fax_number": "910-276-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LCMHCS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141Y3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "186211",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Way Wawner, PA-C
• Lauren Weaver, OTR/L
• Tyson Koenig Weight
• Samantha Welsh, PA-C
• Wendy K. Britt, DDS, PLLC
• Marlena C White, PA-C
• Tia White
• Crystal Whitted
• Jerry Wilkes Jr., PHARMD
• Kelly Graham Wilkins, FNP-C, PMHNP-BC

• Professional Counselor in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.