Provider Demographics
NPI:1134160476
Name:ROCHELLE, JOSEPH LEE JR (LCMHC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LEE
Last Name:ROCHELLE
Suffix:JR
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:L
Other - Last Name:ROCHELLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:20 KATE HILL LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-4284
Mailing Address - Country:US
Mailing Address - Phone:828-750-4292
Mailing Address - Fax:
Practice Address - Street 1:20 KATE HILL LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-4284
Practice Address - Country:US
Practice Address - Phone:828-750-4292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3662101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135JTOtherBCBSNC
NC6102035Medicaid