Individual provider Active NPI

Nathan Roy, LCMHC-A

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1326793753
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17304 Issued in NC
Practice address
2353 Concord Lake Rd Ste 160
Concord, NC 28025-2892
Phone
(980) 781-5856
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17304 NC Primary

Addresses

Primary practice location

2353 Concord Lake Rd Ste 160
Concord, NC 28025-2892

Mailing address

6073 Creekview CT
Harrisburg, NC 28075-7586
Phone (740) 516-5954

Other practice location 1

207 S Broad St Ste 1
Mooresville, NC 28115-3189
Phone (704) 660-6854

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

LicenseStateTypeSpecialty
17304NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Homes, LLC CurrentSince Oct 10, 2021 Accepting new patients

Locations

2353 Concord Lake Rd
Ste 160
Concord, NC 28025
Phone (980) 781-5156

207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1326793753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 CREEKVIEW CT",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757586",
            "telephone_number": "740-516-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 CONCORD LAKE RD STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252892",
            "telephone_number": "980-781-5856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Broad St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281153189",
            "country_code": "US",
            "telephone_number": "704-660-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "NATHAN",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.