Active NPI
Courtney Michelle Caveny, MA, LMFT
- Marriage & Family Therapist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1758
- Practice address
- 1401 Matthews Township Pkwy Ste 320
Matthews, NC 28105-5403 - Phone
- (704) 384-1261
- Fax
- (704) 384-3145
- NPI assigned
- Oct 9, 2014
- Last updated
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10013A | NC | |
| Marriage & Family Therapist | 106H00000X | 1758 | NC | Primary |
Addresses
Primary practice location
1401 Matthews Township Pkwy Ste 320
Matthews, NC 28105-5403
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1261
Other practice location 1
1190 W Roosevelt Blvd
Monroe, NC 28110-2818
Phone (704) 296-6200
Other names 1
- Courtney Michelle Ross
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccaveny867978@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10013A | NC | MD | Professional Counselor |
| 1758 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
1401 Matthews Township Pkwy
Ste 320
Matthews, NC 28105
Phone (704) 316-9064
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Networks
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- ccaveny867978@direct.novanthealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba NHMG Psychiatric Clinics
- Psychiatry Physician
- Huntersville, NC
- NPI 1588387211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1003210717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-1261",
"fax_number": "704-384-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 320",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055403",
"telephone_number": "704-384-1261",
"fax_number": "704-384-3145"
}
],
"practiceLocations": [
{
"address_1": "1190 W Roosevelt Blvd",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281102818",
"country_code": "US",
"telephone_number": "704-296-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVENY",
"first_name": "COURTNEY",
"middle_name": "MICHELLE",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10013A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1758",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccaveny867978@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1401 Matthews Township Pkwy Ste 320",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281055403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "ROSS",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.