Active NPI
Sidney Whitley Langston, PH.D., D.MIN., R.N.
- Mental Health Counselor
- Waxhaw, NC
National Provider Identifier
1104046416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 076547
- Practice address
- 116 S. Providence St.
Waxhaw, NC 28173-1044 - Phone
- (704) 843-4818
- Fax
- (704) 843-5111
- NPI assigned
- Apr 27, 2007
- 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 | 076547 | NC | Primary |
Addresses
Primary practice location
116 S. Providence St.
Waxhaw, NC 28173-1044
Mailing address
PO Box 327
116 S. Providence St.
Waxhaw, NC 28173-1044
Phone (704) 843-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50913 | Other | NC | INSURANCE PROVIDER NUMBER |
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
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076547 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rophe Center, Inc | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waxhaw, NC
- NPI 1194912568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104046416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"address_2": "116 S. PROVIDENCE ST.",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281731044",
"telephone_number": "704-843-4818",
"fax_number": "704-843-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S. PROVIDENCE ST.",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281731044",
"telephone_number": "704-843-4818",
"fax_number": "704-843-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "SIDNEY",
"middle_name": "WHITLEY",
"name_prefix": "Dr.",
"credential": "PH.D., D.MIN., R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "076547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDER NUMBER",
"identifier": "50913",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.