Active NPI
Catherine Adlanda Roberts, LCAS, LPC, CCS
- Mental Health Counselor
- Windsor, NC
National Provider Identifier
1689847410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7249
- Practice address
- 312 Sterlingworth St
Windsor, NC 27983-1724 - Phone
- (252) 551-5544
- Fax
- (252) 334-1598
- NPI assigned
- Apr 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 7249 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1232 | NC |
Addresses
Primary practice location
312 Sterlingworth St
Windsor, NC 27983-1724
Mailing address
PO Box 1123
Windsor, NC 27983-1123
Phone (252) 551-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6112032 | Medicaid | NC |
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 |
|---|---|---|---|
| 1232 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 7249 | NC | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1689847410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1123",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279831123",
"telephone_number": "252-551-5544",
"fax_number": "252-334-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 STERLINGWORTH ST",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279831724",
"telephone_number": "252-551-5544",
"fax_number": "252-334-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CATHERINE",
"middle_name": "ADLANDA",
"name_prefix": "Mrs.",
"credential": "LCAS, LPC, CCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-13",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7249",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1232",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6112032",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.