Provider Demographics
NPI:1962822908
Name:TORRES-ROBINSON, JANET (LCASA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:TORRES-ROBINSON
Suffix:
Gender:F
Credentials:LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28126-0128
Mailing Address - Country:US
Mailing Address - Phone:704-208-0114
Mailing Address - Fax:
Practice Address - Street 1:8325 UNIVERSITY STATION CIR
Practice Address - Street 2:STE 1011
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-3321
Practice Address - Country:US
Practice Address - Phone:704-208-0114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20526101Y00000X, 101YA0400X, 101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC251S00000XMedicaid
NC103K00000XMedicaid
NC101YA0400XMedicaid
NC101YS0200XMedicaid
NC101Y00000XMedicaid
NC101YP2500XMedicaid
NC251B00000XMedicaid
NC101YM0800XMedicaid
NC251V00000XMedicaid
NC251B00000XMedicare UPIN
NC103K00000XMedicare UPIN
NC103K00000XMedicare Oscar/Certification
NC251V00000XMedicare PIN
NC101Y00000XMedicare UPIN
NC101YM0800XMedicaid
NC101YA0400XMedicaid
NC101YS0200XMedicare Oscar/Certification
NC101YM0800XMedicare Oscar/Certification
NC251B00000XMedicaid
NC101YP2500XMedicaid
NC251S00000XMedicare Oscar/Certification
NC251S00000XMedicare UPIN
NC101YA0400XMedicare UPIN
NC101YS0200XMedicaid
NC101YA0400XMedicare Oscar/Certification
NC101YP2500XMedicare PIN
NC251S00000XMedicare PIN
NC101YA0400XMedicare PIN
NC251V00000XMedicare UPIN
NC251V00000XMedicaid
NC251B00000XMedicare Oscar/Certification
NC101Y00000XMedicare Oscar/Certification
NC101YM0800XMedicare PIN
NC101Y00000XMedicare PIN
NC101YS0200XMedicare PIN
NC103K00000XMedicaid