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MR. LARRY WAYNE CLUBINE BA, CSAC
NPI 1033386610
Counselor - Addiction (Substance Use Disorder) in Fayetteville, NC

Active since May 13, 2008PECOS Enrolled
1329 ROBESON ST, FAYETTEVILLE, NC 28305(910) 438-0939 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Larry Wayne Clubine Ba, Csac NPPES

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

MR. LARRY WAYNE CLUBINE BA, CSAC (NPI 1033386610) is an individual addiction (substance use disorder) provider in Fayetteville, North Carolina, licensed in North Carolina (INTERN) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033386610
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. LARRY WAYNE CLUBINECredential: BA, CSAC
Location Address1329 ROBESON STFayetteville, NC 28305-5531
Mailing Address911 Hay StFayetteville, NC 28305-5313 · (910) 438-0939
Phone(910) 438-0939
Sole ProprietorNo
Enumeration DateMay 13, 2008
Last NPPES UpdateJanuary 14, 2015
✔ NPI 1033386610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · INTERN
1329 ROBESON ST, Fayetteville, NC 28305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Larry Wayne Clubine Ba, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Larry Clubine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolina Outreach, LLC
64 mi
Clinical
2670 DURHAM CHAPEL HILL BLVD
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
NPI 1083723266 (919) 251-9001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

KATHERINE L BALDWIN
Case Manager/Care Coordinator
1329 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 587-4152
MS. BARBARA BLACK M.S., LCAS
Counselor (Addiction (Substance Use Disorder))
1329 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 438-0939
MS. JANET PRINCE BA
Counselor (Addiction (Substance Use Disorder))
1329 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 438-0939
MR. ALTON R LOCKLEAR LCSW
Social Worker (Clinical)
1329 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 438-0939
MRS. JOETTE BUCCA INMAN CSAC
Counselor (Addiction (Substance Use Disorder))
1329 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 438-0039

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 Larry Clubine's NPI number?

The NPI number for Larry Clubine is 1033386610. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Larry Clubine located?

Larry Clubine practices at 1329 Robeson St, Fayetteville, NC 28305. The listed phone number is (910) 438-0939.

What is Larry Clubine's specialty?

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

Is Larry Clubine enrolled in Medicare?

Yes. Larry Clubine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larry Clubine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Clubine reassigns Medicare benefits to Carolina Outreach, LLC (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larry Clubine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larry Clubine was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.