TIMOTHY JERREAL WOOTEN LCMHC-A, LCAS-A, NCC
NPI 1679195960
Counselor - Mental Health in Durham, NC

Active since May 11, 2020
3708 LYCKAN PKWY STE 205, DURHAM, NC 27707(919) 809-9846(919) 516-0057 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Jerreal Wooten Lcmhc-a, Lcas-a, Ncc NPPES

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

TIMOTHY JERREAL WOOTEN LCMHC-A, LCAS-A, NCC (NPI 1679195960) is an individual mental health provider in Durham, North Carolina, licensed in North Carolina (A15640) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1679195960
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY JERREAL WOOTENCredential: LCMHC-A, LCAS-A, NCC
Location Address3708 LYCKAN PKWY STE 205Durham, NC 27707-2586
Mailing Address18 Balmoray Ct Apt 5Durham, NC 27707-2004 · (336) 504-3384
Fax(919) 516-0057
Sole ProprietorYes
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
NPI 1679195960 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 · A15640
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25834 (NC)
3708 LYCKAN PKWY STE 205, Durham, NC 27707

Accepted Insurance

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Counselor (Mental Health)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Social Worker (Clinical)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Social Worker (Clinical)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Social Worker (Clinical)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Counselor (Mental Health)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Social Worker (Clinical)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707
Counselor (Mental Health)
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707

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 Timothy Wooten's NPI number?

The NPI number for Timothy Wooten is 1679195960. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Timothy Wooten located?

Timothy Wooten practices at 3708 Lyckan Pkwy Ste 205, Durham, NC 27707. The listed phone number is (919) 809-9846.

What is Timothy Wooten's specialty?

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

What insurance does Timothy Wooten accept?

Health plans from UnitedHealthcare list Timothy Wooten 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 Timothy Wooten was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.