Active NPI
Walter W. Vincent
- Counselor
- Louisburg, NC
National Provider Identifier
1801037189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3533
- Practice address
- 403 E Nash St
Louisburg, NC 27549-2461 - Phone
- (252) 477-0008
- Fax
- (252) 303-0321
- NPI assigned
- Mar 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3533 | NC | |
| Counselor | 101Y00000X | 3533 | NC | Primary |
Addresses
Primary practice location
403 E Nash St
Louisburg, NC 27549-2461
Mailing address
PO Box 98
Louisburg, NC 27549-0098
Phone (252) 477-0008
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 |
|---|---|---|---|
| 3533 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At-Home Counseling Services, Inc. | Counselor | Current | 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 and National Provider Directory roles.
-
- Professional Counselor
- Louisburg, NC
- NPI 1437425113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1801037189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275490098",
"telephone_number": "252-477-0008",
"fax_number": "252-477-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E NASH ST",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492461",
"telephone_number": "252-477-0008",
"fax_number": "252-303-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "WALTER",
"middle_name": "W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3533",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "3533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
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- Tiffany Delores Valentine
- Patricia Vangraafeiland
- Andre Spencer Vann, ,MSW, LCSW, LCAS
- Shalanda C Vann, FNP-C, RN, IBCLC
- Vision Behavioral Health Services
- Vision Behavioral Health Services
- Vision Behavioral Health Services, LLC
- Vision Behavioral Health Services, LLC
- Vision Behavioral Health Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.