MR. WILLARD J COBB JR. MACC, LMFTA, LPCA
NPI 1396290359
Counselor - Mental Health in Charlotte, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Willard Cobb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 11 clinicians in this Medicare group
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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28204
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.
Which organization bills Medicare for Willard Cobb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willard Cobb reassigns Medicare benefits to Sanctuary Counseling Group (Charlotte, 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 Willard Cobb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mr. Willard J Cobb Jr., MACC, LMFTA, LPCA · NPI 1396290359
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 19, 2016.
## Identity
- **NPI:** 1396290359 (Entity type: Individual)
- **Enumerated:** August 19, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12369 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 E 5TH ST, SUITE 110, Charlotte, NC 28204-2379
- **Phone:** (704) 375-5354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sanctuary Counseling Group (NPI 1386785251, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396290359) · Data from the CMS NPPES public registry.