Individual provider Active NPI

Peter Wahida Nemr, LCMHC-A

  • Mental Health Counselor
  • Clinton, NC
National Provider Identifier
1962199984
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18689 Issued in NC
Practice address
100 Loop St
Clinton, NC 28328-4062
Phone
(910) 596-2221
Fax
(910) 596-2229
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18689 NC Primary

Addresses

Primary practice location

100 Loop St
Clinton, NC 28328-4062

Mailing address

100 Loop St
Clinton, NC 28328-4062
Phone (910) 596-2221

Other names 1

  • Peter Wadhir Nemr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104004548 NC Practitioner - Mental Health Counselor 8022508407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

414 W Lebanon St
Mount Airy, NC 27030-2954

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-2732

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18689NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

208 McKoy St
Clinton, NC 28328
Phone (910) 596-2221

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1962199984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LOOP ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284062",
            "telephone_number": "910-596-2221",
            "fax_number": "910-596-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LOOP ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284062",
            "telephone_number": "910-596-2221",
            "fax_number": "910-596-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMR",
        "first_name": "PETER",
        "middle_name": "WAHIDA",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "NEMR",
            "middle_name": "WADHIR",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.