Individual provider Active NPI

Robin Beck Nelson, LPC

  • Professional Counselor
  • Southport, NC
National Provider Identifier
1154591642
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC11199 Issued in NC
Practice address
4320 Southport Supply Rd SE
Suite 200
Southport, NC 28461-8158
Phone
(910) 457-0800
Fax
(910) 457-1072
NPI assigned
Mar 11, 2008
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC11199 NC Primary

Addresses

Primary practice location

4320 Southport Supply Rd SE
Suite 200
Southport, NC 28461-8158

Mailing address

4320 Southport Supply Rd SE
Suite 200
Southport, NC 28461-8158
Phone (910) 457-0800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170605000588 NC Practitioner - Other (Non-Physician) 4789951229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sapia Psychological Associates IncGroup PAC ID 1557524238, 2 clinicians

Practice addresses (Care Compare)

4320 Southport Supply Rd SE
Suite 200
Southport, NC 28461-8056
Phone (910) 457-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC11199NCMDProfessional Counselor
11199NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sapia Psychological Associates Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

4320 Southport Supply Rd SE
Ste 200
Southport, NC 28461
Phone (910) 457-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1154591642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 SOUTHPORT SUPPLY RD SE",
            "address_2": "SUITE 200",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618158",
            "telephone_number": "910-457-0800",
            "fax_number": "910-457-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SOUTHPORT SUPPLY RD SE",
            "address_2": "SUITE 200",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618158",
            "telephone_number": "910-457-0800",
            "fax_number": "910-457-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBIN",
        "middle_name": "BECK",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.