Active NPI
Walter Amos Abbott Jr., LCAS, LPC
- Addiction (Substance Use Disorder) Counselor
- Boone, NC
National Provider Identifier
1982731584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 905
- Practice address
- 820 State Farm Rd
Boone, NC 28607-4996 - Phone
- (828) 262-3382
- NPI assigned
- Feb 28, 2007
- Last updated
- Nov 28, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 905 | NC | Primary |
Addresses
Primary practice location
820 State Farm Rd
Boone, NC 28607-4996
Mailing address
146 Wilson Coffey Rd
Blowing Rock, NC 28605
Phone (828) 295-7762
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1982731584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WILSON COFFEY RD",
"city": "BLOWING ROCK",
"state": "NC",
"postal_code": "28605",
"telephone_number": "828-295-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 STATE FARM RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286074996",
"telephone_number": "828-262-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "WALTER",
"middle_name": "AMOS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCAS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.