Harold Keith Cantrell, LPC
Individual provider Active NPI Professional Counselor · Valdese, NC
NPI 1992905244 · NPPES record last updated May 24, 2012
Key facts
- NPI
- 1992905244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4487 (NC)
- Practice address
- 320 East Hwy 70
Valdese, NC 28690-9500 - Phone
- (828) 443-1225
- Fax
- (828) 368-0208
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 4487 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4487 | NC | Yes |
Addresses
Primary practice location
320 East Hwy 70
Valdese, NC 28690-9500
Mailing address
PO Box 500
Rutherford College, NC 28671-0500
Phone (828) 443-1225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103655 | Medicaid | NC | |
| 146MN | Other | NC | BCBS |
Other providers in Valdese, NC
- Blueridge Healthcare Surgery Center, LLC
- Joe Wilson Bradshaw
- Nicole Maria Brown
- Jennifer Burgess
- Burke Hospice and Palliative Care, Inc.
- Carolinas Medical Center at Home, LLC
- Chimiak Medical Solutions, PLLC
- Eric E Clark
- Margaret Clarke
- Hope Clayton
All providers in Valdese, NC · Professional 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 May 24, 2012. 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.