Active NPI
Bobby Kato, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1386021798
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2759
- Practice address
- 10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001 - Phone
- (704) 249-1445
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2759 | CT | Primary |
Addresses
Primary practice location
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Mailing address
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone (704) 249-1445
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2759 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Korner | Professional | Current | Accepting new patients |
| Nova Lux Counseling | Professional | Current | Accepting new patients |
Locations
10130 Mallard Creek Rd
Ste 300
Charlotte, NC 28262
Phone (704) 944-3533
Organizations & group practices 2
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.
-
- Professional Counselor
- Stamford, CT
- NPI 1235077181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1386021798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "704-249-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "704-249-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATO",
"first_name": "BOBBY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.