Individual provider Active NPI

Harold H Caserta, LPC

  • Professional Counselor
  • Jacksonville, NC
National Provider Identifier
1922659234
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13383 Issued in NC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherNCNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Carolina Psychological and Psychiatric Health SRVS, PA Professional CurrentSince Sep 29, 2019 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC PastSince Sep 29, 2019 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.

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.

Verify at the official NPI Registry.