MR. GARY CLAYTON ROBERSON JR. MS, LCAS, LPCA, CRC
NPI 1366887986
Counselor - Mental Health in Winterville, NC

NPI Status: Active since May 09, 2013

Contact Information

1191 CHARLIE BRANCH RD
WINTERVILLE, NC
ZIP 28590
Phone: (252) 412-4594

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  • Individual
  • Male
  • Counselor
  • Mental Health

About GARY ROBERSON

This page provides the complete NPI Profile along with additional information for Gary Roberson, a provider established in Winterville, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1366887986 assigned on May 2013. The practitioner's primary taxonomy code is 101YM0800X with license number A9174 (NC). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1366887986
Provider Name
MR. GARY CLAYTON ROBERSON JR. MS, LCAS, LPCA, CRC
Gender
Male
Entity Type
Individual
Location Address
1191 CHARLIE BRANCH RD WINTERVILLE, NC 28590
Location Phone
(252) 412-4594
Mailing Address
1191 CHARLIE BRANCH RD WINTERVILLE, NC 28590
Mailing Phone
(252) 412-4594
Is Sole Proprietor?
Yes
Enumeration Date
05-09-2013
Last Update Date
05-09-2013
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A mental health counselor like Gary Roberson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
A9174
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

2348 (NC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366887986
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312616814916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 1 + 4 + 9 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1366887986 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366887986, enumerated as an "individual" on May 09, 2013.

The provider is located at 1191 CHARLIE BRANCH RD WINTERVILLE, NC 28590 and the phone number is (252) 412-4594.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.