Active NPI
Robert B McGuire Jr., LPCA
- Professional Counselor
- Cornelius, NC
National Provider Identifier
1962866061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12085
- Practice address
- 18805 W Catawba Ave
Cornelius, NC 28031 - Phone
- (704) 464-0065
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | A12085 | NC | Primary |
Addresses
Primary practice location
18805 W Catawba Ave
Cornelius, NC 28031
Mailing address
5931 Laurium Rd
Charlotte, NC 28226-5615
Phone (704) 578-3323
Other practice location 1
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone (866) 700-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12085 | NC | MD | Professional Counselor |
| 12085 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1962866061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5931 LAURIUM RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282265615",
"telephone_number": "704-578-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18805 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "704-464-0065"
}
],
"practiceLocations": [
{
"address_1": "5200 Park Rd Ste 218B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282093650",
"country_code": "US",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGUIRE",
"first_name": "ROBERT",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.