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

Mr. Willard J Cobb Jr., MACC, LMFTA, LPCA

Individual provider Mental Health Counselor · NPI 1396290359

Mr. Willard J Cobb Jr., MACC, LMFTA, LPCA is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2015, 11 years ago. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

1801 E 5th St Ste 110
Charlotte, NC 28204-2379
Phone: (704) 375-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12369 (NC)

Record details

NPI number1396290359
Entity typeIndividual (Type 1)
GenderMale
Credentials MACC , LMFTA , LPCA
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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