Individual provider Active NPI

Andie Lorin Strickland-Robinson

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1215588173
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15223 Issued in NC
Practice address
1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240
Phone
(919) 734-6676
Fax
(919) 238-7919
NPI assigned
Sep 23, 2019
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15223 NC Primary
Professional Counselor 101YP2500X A15223 NC

Addresses

Primary practice location

1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240

Mailing address

1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240
Phone (919) 922-5075

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
I20250314001910 NC Practitioner - Mental Health Counselor 1052784733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waynesboro Family ClinicGroup PAC ID 3274445903, 16 clinicians

Practice addresses (Care Compare)

1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240
Phone (919) 734-6676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A15223NCMDMental Health Counselor
15223NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesboro Family Clinic Mental Health CurrentSince Jan 24, 2025 Accepting new patients
Wayne Cares Inc. PastSince Sep 29, 2019 Accepting new patients

Locations

1706 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 734-6676

Organizations & group practices 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1215588173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342240",
            "telephone_number": "919-922-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342240",
            "telephone_number": "919-734-6676",
            "fax_number": "919-238-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND-ROBINSON",
        "first_name": "ANDIE",
        "middle_name": "LORIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15223",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.