RICHARD HALLIBURTON
NPI 1780076877
Counselor - Mental Health in Matthews, NC

Active since February 26, 2015Opted out of Medicare · through Jan 22, 2028
1122 SAM NEWELL RD, SUITE 112, MATTHEWS, NC 28105(980) 292-3586 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Halliburton NPPES

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

RICHARD HALLIBURTON (NPI 1780076877) is an individual mental health provider in Matthews, North Carolina, licensed in North Carolina (A11374) and active in the NPI registry since February 2015. He has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1780076877
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICHARD HALLIBURTON
Location Address1122 SAM NEWELL RD, SUITE 112Matthews, NC 28105-5015
Mailing Address1122 Sam Newell Rd, Suite 112Matthews, NC 28105-5015
Sole ProprietorYes
Enumeration DateFebruary 26, 2015
NPI 1780076877 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 · A11374
1122 SAM NEWELL RD, Matthews, NC 28105

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Richard Halliburton has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Psychologist
1122 SAM NEWELL RD, STE 104
MATTHEWS, NC 28105
Counselor (Professional)
1122 SAM NEWELL RD, SUITE 112
MATTHEWS, NC 28105
Social Worker (Clinical)
1122 SAM NEWELL RD, STE 106
MATTHEWS, NC 28105
Counselor
1122 SAM NEWELL RD, STE 103
MATTHEWS, NC 28105
Counselor (Professional)
1122 SAM NEWELL RD, 112
MATTHEWS, NC 28105
Counselor (Professional)
1122 SAM NEWELL RD, SUITE 105
MATTHEWS, NC 28105

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 Richard Halliburton's NPI number?

The NPI number for Richard Halliburton is 1780076877. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Richard Halliburton located?

Richard Halliburton practices at 1122 Sam Newell Rd Suite 112, Matthews, NC 28105. The listed phone number is (980) 292-3586.

What is Richard Halliburton's specialty?

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

Is Richard Halliburton enrolled in Medicare?

No. Richard Halliburton has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Richard Halliburton accept?

Health plans from Blue Cross and Blue Shield of NC list Richard Halliburton 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 Richard Halliburton was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.