Active NPI
Mary Edith Watkins, MA, LPC, CCMHC, NCC
- Professional Counselor
- Henderson, NC
National Provider Identifier
1306891437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC #374
- Practice address
- 804 S Garnett St
Henderson, NC 27536-4571 - Phone
- (252) 438-2994
- Fax
- (252) 438-6594
- NPI assigned
- May 24, 2006
- 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 | LPC #374 | NC | |
| Professional Counselor | 101YP2500X | LPC #374 | NC | Primary |
Addresses
Primary practice location
804 S Garnett St
Henderson, NC 27536-4571
Mailing address
804 S Garnett St
Henderson, NC 27536-4571
Phone (252) 438-2994
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032581 | Other | NC | TRIGON BC/BS |
| 16802 | Other | NC | PARTNERS |
| 17185 | Other | NC | UBH & UHC EAP, MC AND IN |
| 32581 | Other | NC | ANTHEM INS |
| 4274855 | Other | NC | AETNA INS |
| 057499 | Other | NC | HORIZON EAP AND INS |
| 85940 | Other | NC | BC/BS INS |
| 17185 | Other | NC | OPTUM |
| 20405 | Other | NC | MAGELLAN INS AND MAN CAR |
| 053551000 | Other | NC | MAGELLAN EAP |
| 46571 | Other | NC | FEI EAP AND INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 5, 2023 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC #374 | NC | MD | Mental Health Counselor |
| LPC #374 | NC | MD | Professional Counselor |
| 374 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1306891437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 S GARNETT ST",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364571",
"telephone_number": "252-438-2994",
"fax_number": "252-438-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S GARNETT ST",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364571",
"telephone_number": "252-438-2994",
"fax_number": "252-438-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "MARY",
"middle_name": "EDITH",
"name_prefix": "Ms.",
"credential": "MA, LPC, CCMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LPC #374",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "LPC #374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON BC/BS",
"identifier": "032581",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "16802",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH & UHC EAP, MC AND IN",
"identifier": "17185",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INS",
"identifier": "32581",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "4274855",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON EAP AND INS",
"identifier": "057499",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INS",
"identifier": "85940",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "17185",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN INS AND MAN CAR",
"identifier": "20405",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN EAP",
"identifier": "053551000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEI EAP AND INS",
"identifier": "46571",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.