Individual provider Active NPI

Robert Parker Cristman, LCSW

  • Mental Health Counselor
  • Salisbury, NC
National Provider Identifier
1205876349
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C000802 Issued in NC
Practice address
523 S Main St
Salisbury, NC 28144-5408
Phone
(704) 639-9973
Fax
(704) 639-0869
NPI assigned
Jun 7, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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 C000802 NC Primary

Addresses

Primary practice location

523 S Main St
Salisbury, NC 28144-5408

Mailing address

523 S Main St
Salisbury, NC 28144-5408
Phone (704) 639-9973

Other identifiers 2

IdentifierTypeStateIssuer
6002587MedicaidNC
133J2OtherNCBCBS 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000802NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyerly Counseling Services LLC Mental Health PastSince May 5, 2016 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, 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1205876349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445408",
            "telephone_number": "704-639-9973",
            "fax_number": "704-639-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445408",
            "telephone_number": "704-639-9973",
            "fax_number": "704-639-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTMAN",
        "first_name": "ROBERT",
        "middle_name": "PARKER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C000802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002587",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "133J2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.