Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Waller, LPCS, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1023596244

Kevin Waller, LPCS, LCAS, CCS is an Addiction (Substance Use Disorder) Counselor in Old Fort, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
3

Practice location Address checks out

363 Graphite Rd
Old Fort, NC 28762-9455
Phone: (828) 668-7590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 3145 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20998 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence S7822 (NC)

Record details

NPI number1023596244
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCS , LCAS , CCS
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018