Active NPI
Roberta J Ferguson, LPC
- Mental Health Counselor
- Brevard, NC
National Provider Identifier
1518910751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4062
- Practice address
- 45 N Country Club Rd
Brevard, NC 28712-8908 - Phone
- (828) 885-8255
- Fax
- (828) 884-9753
- NPI assigned
- May 18, 2006
- Last updated
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4062 | NC | Primary |
Addresses
Primary practice location
45 N Country Club Rd
Brevard, NC 28712-8908
Mailing address
PO Box 863
Brevard, NC 28712-0863
Phone (828) 885-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102397 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4062 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance CBS, Inc. | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1518910751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "BREVARD",
"state": "NC",
"postal_code": "287120863",
"telephone_number": "828-885-8255",
"fax_number": "828-884-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 N COUNTRY CLUB RD",
"city": "BREVARD",
"state": "NC",
"postal_code": "287128908",
"telephone_number": "828-885-8255",
"fax_number": "828-884-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ROBERTA",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102397",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
- Families Together, Inc.
- Families Together, Inc.
- Families Together, Inc.
- Family Preservation Services of North Carolina, Inc - Brevard Element
- Family Preservation Services of North Carolina, Inc. - Brevard Middle
- Fernhill Pharm Inc (Gordon Family Pharmacy)
- Donald Ferrell
- Marisa D Fessler
- Kerry Noel Fincher, D.O., CAQSM
- Fisher Road Group Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.