Active NPI
Marcus L Robinson, LCMHC
- Mental Health Counselor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8478
- Practice address
- 10643 Kettering Dr. Suite 109
Charlotte, NC 28226 - Phone
- (704) 762-1361
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- 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 | 8478 | NC | Primary |
Addresses
Primary practice location
10643 Kettering Dr. Suite 109
Charlotte, NC 28226
Mailing address
10617 Kettering Dr Ste 109
Charlotte, NC 28226-4900
Phone (704) 762-1361
Other practice location 1
10617 Kettering Dr Ste 109
Charlotte, NC 28226-4900
Phone (704) 762-1361
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 |
|---|---|---|---|
| 8478 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Therapeutic Services PLLC | Mental Health | Current | Accepting new patients |
Locations
5970 Fairview Rd
Ste 126
Charlotte, NC 28210
Phone (704) 412-8830
10617 Kettering Dr
Ste 109
Charlotte, NC 28226
Phone (980) 500-9180
10643 Kettering Dr
Ste 109
Charlotte, NC 28226
Phone (704) 762-1361
111 Commerce Centre Dr
Ste 305
Huntersville, NC 28078
Phone (704) 451-9668
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
- Charlotte, NC
- NPI 1306350012
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1205175809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10617 KETTERING DR STE 109",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282264900",
"telephone_number": "704-762-1361",
"fax_number": "980-505-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10643 KETTERING DR. SUITE 109",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28226",
"telephone_number": "704-762-1361"
}
],
"practiceLocations": [
{
"address_1": "10617 Kettering Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282264900",
"country_code": "US",
"telephone_number": "704-762-1361",
"fax_number": "980-505-8947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "MARCUS",
"middle_name": "L",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2022-05-13",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.