Active NPI
Rebecca White Romeo, LPC
- Professional Counselor
- Statesville, NC
National Provider Identifier
1700098365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3663
- Practice address
- 1706 Davie Ave
Statesville, NC 28677-3589 - Phone
- (704) 872-5990
- Fax
- (704) 872-5448
- NPI assigned
- May 4, 2007
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3663 | NC | Primary |
Addresses
Primary practice location
1706 Davie Ave
Statesville, NC 28677-3589
Mailing address
1512 Avondale Dr
Statesville, NC 28625-8739
Phone (704) 872-2672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102709 | 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 |
|---|---|---|---|
| 3663 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Allen J Romeo & Associates PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Statesville, NC
- NPI 1568836930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700098365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 AVONDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286258739",
"telephone_number": "704-872-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 DAVIE AVE",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773589",
"telephone_number": "704-872-5990",
"fax_number": "704-872-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMEO",
"first_name": "REBECCA",
"middle_name": "WHITE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102709",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.