Individual provider Active NPI

Marcus Dayon Watkins, LPC, LCAS-A

  • Mental Health Counselor
  • Roanoke Rapids, NC
National Provider Identifier
1154646362
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7823 Issued in NC
Practice address
608 Jackson St Ste 209
Roanoke Rapids, NC 27870-2600
Phone
(252) 541-3517
Fax
(252) 541-3088
NPI assigned
Mar 30, 2010
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7823 NC Primary

Addresses

Primary practice location

608 Jackson St Ste 209
Roanoke Rapids, NC 27870-2600

Mailing address

PO Box 1464
Roanoke Rapids, NC 27870-7464
Phone (252) 541-3517

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

LicenseStateTypeSpecialty
7823NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
R.H. Watkins Counseling & Assessment, PLLC CurrentSince Oct 13, 2019 Accepting new patients

Locations

608 Jackson St
Ste 209
Roanoke Rapids, NC 27870
Phone (252) 541-3517

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1154646362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278707464",
            "telephone_number": "252-541-3517",
            "fax_number": "252-541-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE 209",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702600",
            "telephone_number": "252-541-3517",
            "fax_number": "252-541-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "MARCUS",
        "middle_name": "DAYON",
        "name_prefix": "Mr.",
        "credential": "LPC, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.