MR. WILLARD J COBB JR. MACC, LMFTA, LPCA
NPI 1396290359
Counselor - Mental Health in Charlotte, NC

Q: What is Willard Cobb's NPI number?

The NPI number for Willard Cobb is 1396290359. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Q: What is Willard Cobb'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 Willard Cobb was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2016PECOS Enrolled

1801 E 5TH ST, SUITE 110, CHARLOTTE, NC 28204(704) 375-5354 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, Aug 19, 2016 (2 updates tracked since 2016).

On this page

About Mr. Willard J Cobb Jr. Macc, Lmfta, Lpca NPPES

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

MR. WILLARD J COBB JR. MACC, LMFTA, LPCA (NPI 1396290359) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (12369) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396290359

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. WILLARD J COBB JR.Credential: MACC, LMFTA, LPCA

Location Address1801 E 5TH ST, SUITE 110Charlotte, NC 28204-2379

Mailing Address2129 E 7th StCharlotte, NC 28204-3337 · (704) 375-5354

Phone(704) 375-5354

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 19, 2016

Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1396290359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 12369

1801 E 5TH ST, Charlotte, NC 28204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willard J Cobb Jr. Macc, Lmfta, Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870068497

PECOS Enrollment IDI20260522002621

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.

Other Providers at the Same Location NPPES 17

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

MR. JAMES MATTHEW GREEN LPC

Counselor (Professional)

1801 E 5TH ST, SUITE 108-B
CHARLOTTE, NC 28204

Mecklenburg County (704) 375-2822

MS. VIVIAN CAROL VIVIAN CAROL

Counselor (Professional)

1801 E 5TH ST, # 105
CHARLOTTE, NC 28204

Mecklenburg County (704) 366-3777

MR. STEPHEN LEE ROBINSON LPCS LCAS

Counselor (Mental Health)

1801 E 5TH ST, SUITE 203
CHARLOTTE, NC 28204

Mecklenburg County (704) 334-3444

DR. JOHN CURTIS NANCE PH.D, LPCS, NCC.

Counselor

1801 E 5TH ST, SUITE 210
CHARLOTTE, NC 28204

Mecklenburg County (704) 287-4855

MR. PETER DAVID WALLENS M.S.W.

Social Worker (Clinical)

1801 E 5TH ST, SUITE 212
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-1000

JOHN CLARKE LPC

Counselor (Professional)

1801 E 5TH ST, SUITE 210
CHARLOTTE, NC 28204

Mecklenburg County (704) 750-2778

JENNIFER C KUEHN LPC, NCC

Counselor (Mental Health)

1801 E 5TH ST, SUITE 203
CHARLOTTE, NC 28204

Mecklenburg County (704) 264-7180

JOURNEY TO LIFE, INC

Counselor (Professional)

1801 E 5TH ST, STE. 213
CHARLOTTE, NC 28204

Mecklenburg County (704) 332-5433

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 Willard Cobb's NPI number?

The NPI number for Willard Cobb is 1396290359. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Willard Cobb located?

Willard Cobb practices at 1801 E 5th St Suite 110, Charlotte, NC 28204. The listed phone number is (704) 375-5354.

What is Willard Cobb's specialty?

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

Is Willard Cobb enrolled in Medicare?

Yes. Willard Cobb is registered in the Medicare PECOS enrollment system.

What insurance does Willard Cobb accept?

Health plans from Blue Cross and Blue Shield of NC list Willard Cobb 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 Willard Cobb was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.