Dr. L. Wayne Robertson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

HSP-P 1252 Issued in NC

Legal business name

DR. L. WAYNE ROBERTSON

Doing business as

Carolina Counseling Center

Practice address

158 Drumgold Rd
Littleton, NC 27850-9415

Phone

(252) 586-4205

Fax

(252) 586-4205

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Leon Wayne Robertson, ED.D.

Title

Licensed Psychologist

Phone

(252) 586-4205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Counseling Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1285967695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DRUMGOLD RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509415",
            "telephone_number": "252-586-4205",
            "fax_number": "252-586-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DRUMGOLD RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509415",
            "telephone_number": "252-586-4205",
            "fax_number": "252-586-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. L. WAYNE ROBERTSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-586-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HSP-P 1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA PSYCHOLOGY BOARD",
            "identifier": "HSP-P 1252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Littleton, NC
• Providers in Littleton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.