Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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William Justin Wadsworth, MA, LPC-A, NCC

Individual provider Mental Health Counselor · NPI 1912541632

William Justin Wadsworth, MA, LPC-A, NCC is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

322 Lamar Ave
Charlotte, NC 28204-2436
Phone: (704) 425-2117
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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 A15094 (NC)

Record details

NPI number1912541632
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC-A , NCC
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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