Wendy Loraine Cubero, EDS.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4058 Issued in NC

Practice address

325 N Main St
Tarboro, NC 27886-5009

Phone

(252) 823-2927

NPI assigned

Feb 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penn Psycare IncGroup PAC ID 4880663343, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Penn Psycare Inc

  • Psychiatry Physician
  • Lower Burrell, PA
  • NPI 1326004425
  Medicare reassignment Care Compare group NPD
• Marvin D. Coulthard

  dba Tar River Psychological Associates

  • Mental Health Counselor
  • Tarboro, NC
  • NPI 1336283837

  Professional

  NPD (past)
• Mindful Life LLC

  • Mental Health Counselor
  • Butler, PA
  • NPI 1609409325
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548308174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865009",
            "telephone_number": "252-823-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865009",
            "telephone_number": "252-823-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBERO",
        "first_name": "WENDY",
        "middle_name": "LORAINE",
        "name_prefix": "Mrs.",
        "credential": "EDS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2132311",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102655",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Coward, M.D.
• Jerry Evan Coy, CRNA
• Created for This Doula Services LLC
• Cristen's Caring Corner LLC
• Lakiesha Cross
• Cultivating Change, LLC
• D-Pom L.L.C
• D-Pom LLC
• Alberto J D'Empaire, M.D.
• Marlene Dail, RN

• Professional Counselor in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Professional Counselor in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.