Active NPI
Rufus Thomas Wyatt Jr., LPC
- Professional Counselor
- Salisbury, NC
National Provider Identifier
1265666564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7075
- Practice address
- 1121 Old Concord Rd Ste 23
Salisbury, NC 28146-1473 - Phone
- (704) 798-9460
- NPI assigned
- May 14, 2009
- Last updated
- Sep 1, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7075 | NC | Primary |
Addresses
Primary practice location
1121 Old Concord Rd Ste 23
Salisbury, NC 28146-1473
Mailing address
PO Box 3358
Salisbury, NC 28145-3358
Phone (704) 798-9460
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 |
|---|---|---|---|
| 7075 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567296000000",
"number": "1265666564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3358",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281453358",
"telephone_number": "704-798-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 OLD CONCORD RD STE 23",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281461473",
"telephone_number": "704-798-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "RUFUS",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2019-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7075",
"primary": true
}
],
"identifiers": [],
"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 Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.