Active NPI
James Melvile Roberts, LCASA
- Addiction (Substance Use Disorder) Counselor
- Matthews, NC
National Provider Identifier
1841544103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2919A
- Practice address
- 2537 Cross Point Cir Apt 34
Matthews, NC 28105-8354 - Phone
- (704) 299-6713
- Fax
- (704) 405-4262
- NPI assigned
- Nov 7, 2012
- Last updated
- Nov 7, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2919A | NC | Primary |
Addresses
Primary practice location
2537 Cross Point Cir Apt 34
Matthews, NC 28105-8354
Mailing address
2537 Cross Point Cir Apt 34
Matthews, NC 28105-8354
Phone (704) 299-6713
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 |
|---|---|---|---|
| 2919A | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1841544103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2537 CROSS POINT CIR APT 34",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058354",
"telephone_number": "704-299-6713",
"fax_number": "704-405-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 CROSS POINT CIR APT 34",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058354",
"telephone_number": "704-299-6713",
"fax_number": "704-405-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JAMES",
"middle_name": "MELVILE",
"name_prefix": "Mr.",
"credential": "LCASA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2919A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
- Robert R. Haglund, Jr, DMD, MDS (Queen City Endodontics at Matthews)
- Christine Avril Roberts-Elliott, MSW, LCSW
- Abrianna Latrice Roberts, MSW, LCSW-A
- Andrew Alan Roberts, DDS
- Celeste Roberts, OTR/L
- Nancy Roberts, MS-CCC-SLP
- Jennifer Trapp Robinson, M.A., CCC-SLP
- Tita T Robinson
- Robinson's Pathways to Healing LLC
- Rockingham Medical Clinic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.