Rebellious Therapy
NPI 1821742552ActiveOrganization· Counselor, Mental Health· Huntersville, NC
Counselor, Mental Health in Huntersville, North Carolina, registered in NPPES in February 2022. The authorized official on file is Katherine Lee Elizabeth Waldron, M.A, LCMHCA, NCC, CT, Ceo.
Overview
| NPI | 1821742552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Mar 15, 2022 |
| Certified by provider | Mar 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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