Active NPI
Robert L Macklin
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1730744913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14754
- Practice address
- 2818 Queen City Dr
Charlotte, NC 28208-3682 - Phone
- (706) 306-2900
- NPI assigned
- May 3, 2019
- Sex
- Male
- 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 | A14754 | NC | Primary |
Addresses
Primary practice location
2818 Queen City Dr
Charlotte, NC 28208-3682
Mailing address
4229 Green Park CT
Harrisburg, NC 28075-6704
Phone (706) 306-2900
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 |
|---|---|---|---|
| A14754 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1730744913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 GREEN PARK CT",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280756704",
"telephone_number": "706-306-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 QUEEN CITY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282083682",
"telephone_number": "706-306-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.