Active NPI
Betty J Robinson, LPC
- Mental Health Counselor
- Indian Trail, NC
National Provider Identifier
1275690455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3661
- Practice address
- 4389 Indian Trail Fairview Rd
Suite 13
Indian Trail, NC 28079-9639 - Phone
- (704) 882-7716
- Fax
- (888) 882-7113
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3661 | NC | Primary |
| Professional Counselor | 101YP2500X | 5588 | FL |
Addresses
Primary practice location
4389 Indian Trail Fairview Rd
Suite 13
Indian Trail, NC 28079-9639
Mailing address
4389 Indian Trail Fairview Rd
Suite 13
Indian Trail, NC 28079-9639
Phone (704) 882-7716
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005126 | Medicaid | NC | |
| MAGELLAN | Other | 283541000 | |
| VALUEOPTIONS | Other | 006516 | |
| BCBS | Other | 133U5 | |
| VMC | Other | 023658 | |
| CAQH | Other | 11338543 |
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 |
|---|---|---|---|
| 5588 | FL | MD | Professional Counselor |
| 3661 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1275690455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 INDIAN TRAIL FAIRVIEW RD",
"address_2": "SUITE 13",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799639",
"telephone_number": "704-882-7716",
"fax_number": "888-882-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 INDIAN TRAIL FAIRVIEW RD",
"address_2": "SUITE 13",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799639",
"telephone_number": "704-882-7716",
"fax_number": "888-882-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "BETTY",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3661",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "5588",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005126",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "283541000",
"identifier": "MAGELLAN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "006516",
"identifier": "VALUEOPTIONS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "133U5",
"identifier": "BCBS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "023658",
"identifier": "VMC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "11338543",
"identifier": "CAQH",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
- Richard M Holmes DMD, PA
- Danielle Tina Richardson, LCSW
- Quincy Ridley, BSW, MSW, LCSWA
- Christina Zafiris Rigas, MS-CCC.SLP
- Theodus Marques Roach, LCSW
- James Paul Robson Jr., N.P.
- Francy Johana Rodriguez, N.D., LAC
- Emily Rollins, OTD, OTR/L
- Jasmine Lorraine Rosario, LMBT-MLD
- Diana Rowan, PHD, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.