Individual provider Active NPI

Roberta Welch Stogner, MA

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1487778270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NCBLPC 620 Issued in NC
Practice address
4204 Sugar Pine LN
Durham, NC 27705-7320
Phone
(919) 493-5355
Fax
(919) 493-5355
NPI assigned
Mar 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NCBLPC 620 NC Primary

Addresses

Primary practice location

4204 Sugar Pine LN
Durham, NC 27705-7320

Mailing address

4204 Sugar Pine LN
Durham, NC 27705-7320
Phone (919) 493-5355

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
NCBLPC 620NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487778270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SUGAR PINE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057320",
            "telephone_number": "919-493-5355",
            "fax_number": "919-493-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 SUGAR PINE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057320",
            "telephone_number": "919-493-5355",
            "fax_number": "919-493-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGNER",
        "first_name": "ROBERTA",
        "middle_name": "WELCH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "NCBLPC 620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.