Active NPI
Alfonzo Devone Whittington Jr.
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1689543290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 505 Owen Dr
Fayetteville, NC 28304-3433 - Phone
- (910) 824-1301
- NPI assigned
- Nov 3, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
505 Owen Dr
Fayetteville, NC 28304-3433
Mailing address
505 Owen Dr
Fayetteville, NC 28304-3433
Phone (910) 824-1301
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1689543290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043433",
"telephone_number": "910-824-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043433",
"telephone_number": "910-824-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "ALFONZO",
"middle_name": "DEVONE",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-03",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.