Individual provider Active NPI

Robert Daniel Wilkes

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1821617465
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15569 Issued in NC
Practice address
905 McClellan PL
Greensboro, NC 27409-8930
Phone
(336) 370-9400
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15569 NC Primary

Addresses

Primary practice location

905 McClellan PL
Greensboro, NC 27409-8930

Mailing address

1012 Cornell St
Asheboro, NC 27203-2401
Phone (336) 465-1369

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

LicenseStateTypeSpecialty
A15569NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Behavioral Solutions,Inc. Mental Health CurrentSince Mar 6, 2022 Accepting new patients
Abs Valley of Hope PRTF, LLC CurrentSince Dec 3, 2023 Accepting new patients
Counseling Asheboro, PLLC Mental Health Past Accepting new patients

Locations

905 McClellan Pl
Greensboro, NC 27409
Phone (336) 370-9400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1821617465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CORNELL ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272032401",
            "telephone_number": "336-465-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MCCLELLAN PL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098930",
            "telephone_number": "336-370-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.