Individual provider Active NPI

Nicole L Watlington, LPCA, NCC, MS

  • Counselor
  • Greensboro, NC
National Provider Identifier
1902334832
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A11992 Issued in NC
Practice address
403 Parkway Ste G
Greensboro, NC 27401-1653
Phone
(336) 340-6566
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A11992 NC Primary

Addresses

Primary practice location

403 Parkway Ste G
Greensboro, NC 27401-1653

Mailing address

7151 W Friendly Ave Unit G
Greensboro, NC 27410-6345
Phone (336) 340-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4435 Golf Acres Dr
Charlotte, NC 28208-5947

PO Box
Suite 19305
Charlotte, NC 28219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A11992NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1902334832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 W FRIENDLY AVE UNIT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106345",
            "telephone_number": "336-340-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PARKWAY STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011653",
            "telephone_number": "336-340-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLINGTON",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "LPCA, NCC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A11992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.