Gwendolyn Long Roberts, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7606 Issued in NC

Practice address

3332 Bridges St Ste 3a
Morehead City, NC 28557-3296

Phone

(919) 201-7124

NPI assigned

Jan 10, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Gwendolyn Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1720318082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 COURTYARD E",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285162438",
            "telephone_number": "919-201-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 BRIDGES ST STE 3A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573296",
            "telephone_number": "919-201-7124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Loop St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284062",
            "country_code": "US",
            "telephone_number": "910-596-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GWENDOLYN",
        "middle_name": "LONG",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "LONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Thompson Riley, MS, LPCA
• Nell A Ring, CFM
• Janet P Ringer, PTA
• Alissa Nicole Robb
• Robert O. Barnum DC PA
• Heather Jean Robertson Mloganoski, PHD
• David Prince Robertson, DDS
• Terry Campbell Robertson, LCSW
• Jerrol J Robinson, FNP-BC
• Samantha Robinson, AUD

• Mental Health Counselor in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.