Active NPI
Steven Palin, LPC/S
- Professional Counselor
- Waxhaw, NC
National Provider Identifier
1679807002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5684
- Practice address
- 5405 Bow Hill Dr
Waxhaw, NC 28173-7803 - Phone
- (704) 776-8616
- NPI assigned
- Oct 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10588 | NC | |
| Professional Counselor | 101YP2500X | 5684 | SC | Primary |
Addresses
Primary practice location
5405 Bow Hill Dr
Waxhaw, NC 28173-7803
Mailing address
5405 Bow Hill Dr
Waxhaw, NC 28173-7803
Phone (704) 776-8616
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 |
|---|---|---|---|
| 10588 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Mental Health Center | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Rock Hill, SC
- NPI 1831375021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1679807002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 BOW HILL DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737803",
"telephone_number": "704-776-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 BOW HILL DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737803",
"telephone_number": "704-776-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALIN",
"first_name": "STEVEN",
"credential": "LPC/S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10588",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.