Active NPI
Harold H Caserta, LPC
- Professional Counselor
- Jacksonville, NC
National Provider Identifier
1922659234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13383
- Practice address
- 1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098 - Phone
- (910) 347-3010
- Fax
- (910) 347-6137
- NPI assigned
- Sep 27, 2019
- Last updated
- Sep 27, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13383 | NC | Primary |
Addresses
Primary practice location
1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098
Mailing address
1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098
Phone (910) 347-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NC | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Valant | Other |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Psychological and Psychiatric Health SRVS, PA | Professional | Current | Accepting new patients |
| Resolutions Counseling and Mediation Services, PLLC | Past | Accepting new patients |
Locations
1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Psychological Health Services
- Psychologist
- Jacksonville, NC
- NPI 1770561193
Professional
-
- Clinical Social Worker
- Jacksonville, NC
- NPI 1982868501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1922659234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 COUNTRY CLUB RD STE 204",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466098",
"telephone_number": "910-347-3010",
"fax_number": "910-347-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 COUNTRY CLUB RD STE 204",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466098",
"telephone_number": "910-347-3010",
"fax_number": "910-347-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASERTA",
"first_name": "HAROLD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Valant",
"affiliation": "N",
"endpointDescription": "Electronic Health Record",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "None",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1703 Country Club Rd Ste 204",
"city": "Jacksonville",
"state": "NC",
"country_code": "US",
"postal_code": "285466098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.