Claudine Bernice Langdon, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6827 Issued in NC

Practice address

1880 N Broad St
Fuquay Varina, NC 27526-3657

Phone

(919) 557-8222

Fax

(919) 557-8223

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Claudine Bernice Parker Former name

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Wake Counseling Center

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1356596720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1306020870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Judd Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275262624",
            "country_code": "US",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "CLAUDINE",
        "middle_name": "BERNICE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006915",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBLPC",
            "identifier": "6827",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDINE",
            "last_name": "PARKER",
            "middle_name": "BERNICE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lane and Associates I DDS PA
• Lane and Associates Liii DDS PA
• Don Gilbert Lane, DDS
• Jessica Lane
• Patricia Holyfield Lane, MS, OTR/L
• Brandon Langworthy, DPT
• Kristen Labianca Langworthy, DDS
• Melissa Lara, PA-C
• Stephanie Katherine Lastra, PMHNP
• Laura Yarger DDS PLLC

• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.