Anthony Roberts Oettinger, M ED NCC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

981 Issued in NC

Practice address

141 College Dr
Stanly Community College
Albemarle, NC 28001-7458

Phone

(704) 991-0236

Fax

(704) 991-0255

NPI assigned

Jun 12, 2008

Last updated

Mar 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1902066079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SMITH ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013028",
            "telephone_number": "704-983-1251",
            "fax_number": "704-991-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 COLLEGE DR",
            "address_2": "STANLY COMMUNITY COLLEGE",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017458",
            "telephone_number": "704-991-0236",
            "fax_number": "704-991-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTINGER",
        "first_name": "ANTHONY",
        "middle_name": "ROBERTS",
        "name_prefix": "Mr.",
        "credential": "M ED NCC LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.