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

Q: What is Gary Roberson's NPI number?

The NPI number for Gary Roberson is 1366887986. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Q: What is Gary Roberson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Gary Roberson was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 09, 2013

1191 CHARLIE BRANCH RD, WINTERVILLE, NC 28590(252) 412-4594 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Gary Clayton Roberson Jr. Ms, Lcas, Lpca, Crc NPPES

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

MR. GARY CLAYTON ROBERSON JR. MS, LCAS, LPCA, CRC (NPI 1366887986) is an individual mental health provider in Winterville, North Carolina, licensed in North Carolina (A9174) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1366887986

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. GARY CLAYTON ROBERSON JR.Credential: MS, LCAS, LPCA, CRC

Location Address1191 CHARLIE BRANCH RDWinterville, NC 28590-8054

Mailing Address1191 Charlie Branch RdWinterville, NC 28590-8054 · (252) 412-4594

Phone(252) 412-4594

Sole ProprietorYes

Enumeration DateMay 9, 2013

✔ NPI 1366887986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A9174

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2348 (NC)

1191 CHARLIE BRANCH RD, Winterville, NC 28590

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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 Gary Roberson's NPI number?

The NPI number for Gary Roberson is 1366887986. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Gary Roberson located?

Gary Roberson practices at 1191 Charlie Branch Rd, Winterville, NC 28590. The listed phone number is (252) 412-4594.

What is Gary Roberson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gary Roberson was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.