Individual provider Active NPI

Bobbi Jean Pate, LPC, RPT

  • Mental Health Counselor
  • Camp Lejeune, NC
National Provider Identifier
1619226289
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A7900 Issued in NC
Practice address
1401 West Rd
Camp Lejeune, NC 28547-2539
Phone
(910) 451-6876
Fax
(910) 451-1601
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 A7900 NC Primary

Addresses

Primary practice location

1401 West Rd
Camp Lejeune, NC 28547-2539

Mailing address

300 Verona Rd
Jacksonville, NC 28540-9620
Phone (910) 520-0923

Other names 1

  • Mrs. Bobbi Jean Pate Professional name

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

LicenseStateTypeSpecialty
A7900NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1619226289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VERONA RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409620",
            "telephone_number": "910-520-0923",
            "fax_number": "910-238-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WEST RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472539",
            "telephone_number": "910-451-6876",
            "fax_number": "910-451-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "BOBBI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A7900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "PATE",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "LPC, RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.