KEVIN WALLER LPCS, LCAS, CCS
NPI 1023596244
Counselor - Addiction (Substance Use Disorder) in Old Fort, NC

Active since July 31, 2018
363 GRAPHITE RD, OLD FORT, NC 28762(828) 668-7590 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Waller Lpcs, Lcas, Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WALLER LPCS, LCAS, CCS (NPI 1023596244) is an individual addiction (substance use disorder) provider in Old Fort, North Carolina, licensed in North Carolina (3145) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1023596244
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN WALLERCredential: LPCS, LCAS, CCS
Location Address363 GRAPHITE RDOld Fort, NC 28762-9455
Mailing Address363 Graphite RdOld Fort, NC 28762-9455 · (828) 668-7590
Sole ProprietorNo
Enumeration DateJuly 31, 2018
NPI 1023596244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in NC · 3145 Licensed in NC · 20998
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License S7822 (NC)
363 GRAPHITE RD, Old Fort, NC 28762

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
363 GRAPHITE RD
OLD FORT, NC 28762
Social Worker (Clinical)
363 GRAPHITE RD
OLD FORT, NC 28762
Residential Treatment Facility, Emotionally Disturbed Children
363 GRAPHITE RD
OLD FORT, NC 28762
Residential Treatment Facility, Emotionally Disturbed Children
363 GRAPHITE RD
OLD FORT, NC 28762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Waller's NPI number?

The NPI number for Kevin Waller is 1023596244. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Kevin Waller located?

Kevin Waller practices at 363 Graphite Rd, Old Fort, NC 28762. The listed phone number is (828) 668-7590.

What is Kevin Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kevin Waller accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kevin Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Waller was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.