Provider Demographics
NPI:1245203819
Name:MCCARTER, ROBERT C JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:MCCARTER
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 N MAIN ST
Mailing Address - Street 2:BOX 214
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3162
Mailing Address - Country:US
Mailing Address - Phone:704-825-9696
Mailing Address - Fax:866-880-8347
Practice Address - Street 1:32 N MAIN ST
Practice Address - Street 2:BOX 214
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3162
Practice Address - Country:US
Practice Address - Phone:704-825-9696
Practice Address - Fax:866-880-8347
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3210101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102716Medicaid
NC6102863Medicaid
NC11338046OtherCAQH
NC1281COtherBLUE CROSS BLUE SHIELD
NC561972445Medicare UPIN