Individual provider Active NPI

Robert Weston Slemmer Jr., LPC, NCC

  • Mental Health Counselor
  • Clayton, NC
National Provider Identifier
1992737571
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3714 Issued in NC
Practice address
200 E Main St Ste 201
Clayton, NC 27520-2487
Phone
(919) 624-6749
Fax
(919) 359-1399
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 3714 NC Primary

Addresses

Primary practice location

200 E Main St Ste 201
Clayton, NC 27520-2487

Mailing address

158 Trantham TRL
Clayton, NC 27527-6585
Phone (919) 359-0579

Other identifiers 2

IdentifierTypeStateIssuer
12765OtherNCNC HEALTH CHOICE
6102156MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3714NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Slemmer Therapeutic Services, Inc. CurrentSince Nov 7, 2024 Accepting new patients

Locations

200 E Main St
Ste 201
Clayton, NC 27520
Phone (919) 523-2110

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1992737571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 TRANTHAM TRL",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276585",
            "telephone_number": "919-359-0579",
            "fax_number": "919-359-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE 201",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202487",
            "telephone_number": "919-624-6749",
            "fax_number": "919-359-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEMMER",
        "first_name": "ROBERT",
        "middle_name": "WESTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "12765",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.