Noah F Watson – Mental Health Counselor

Key facts

NPI: 1972356293
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: A19709 (NC)
Practice address: 3806 Peachtree Ave Ste 210
Wilmington, NC 28403-6752
Phone: (910) 251-7789
NPI assigned: Apr 8, 2024
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Barbara Ann Jacques Mental Health Clinic/Center (Including Community Mental Health Center) · Wilmington, NC · NPI 1760067706

NPD
Agape Counseling Associates, Inc Professional Counselor · Wilmington, NC · NPI 1568993277

NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LCAS-29446	NC	MD	Addiction (Substance Use Disorder) Counselor
A19709	NC	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Barbara Ann Jacques		Current since Apr 14, 2024	Accepting new patients
Agape Counseling Associates, Inc	Professional	Past since Apr 14, 2024	Accepting new patients

Locations

3806 Peachtree Ave
Ste 210
Wilmington, NC 28403
Phone (910) 251-7789

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	A19709	NC
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCAS-29446	NC
Professional Counselor	101YP2500X	A19709	NC
Mental Health Counselor	101YM0800X	A19709	NC	Yes

Addresses

Primary practice location

3806 Peachtree Ave Ste 210
Wilmington, NC 28403-6752

Mailing address

3825 Market St Ste 4
Wilmington, NC 28403-1426
Phone (910) 777-5575

Other providers in Wilmington, NC

All providers in Wilmington, NC · Mental Health Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.