Active NPI
Richard Randy Robinson
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1992387310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 26919
- Practice address
- 3824 Barrett Dr Ste 105
Raleigh, NC 27609-7220 - Phone
- (919) 790-7775
- NPI assigned
- Apr 26, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26919 | NC | Primary |
Addresses
Primary practice location
3824 Barrett Dr Ste 105
Raleigh, NC 27609-7220
Mailing address
270 Tee Jay Farm Rd
Aberdeen, NC 28315-7820
Phone (910) 297-4930
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26919 | 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": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1992387310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 TEE JAY FARM RD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283157820",
"telephone_number": "910-297-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 BARRETT DR STE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097220",
"telephone_number": "919-790-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "RICHARD",
"middle_name": "RANDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "26919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.