Individual provider Active NPI

Ryan Watlington

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1558833855
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2267 Issued in NC
Practice address
108 Oakmont Dr
Greenville, NC 27858-5936
Phone
(252) 355-2801
NPI assigned
Dec 26, 2018
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 2267 NC Primary

Addresses

Primary practice location

108 Oakmont Dr
Greenville, NC 27858-5936

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-9034

Other practice location 1

2410 Charlotte Ave
Nashville, TN 37203-1517
Phone (615) 321-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240212000597 NC Practitioner - Marriage and Family Therapist 5799128385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

108 Oakmont Dr
Greenville, NC 27858-5936
Phone (252) 355-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Carenet Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Carenet, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Carenet, Inc Professional PastSince May 25, 2021 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

108 Oakmont Dr
Greenville, NC 27858
Phone (252) 341-3778

3219 Landmark St
Ste 9
Greenville, NC 27834

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 4

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1558833855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OAKMONT DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585936",
            "telephone_number": "252-355-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Charlotte Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031517",
            "country_code": "US",
            "telephone_number": "615-321-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATLINGTON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.