Individual provider Active NPI

Caleb Harding, LCMHC

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1023474418
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12125 Issued in NC
Practice address
111 S George St
Goldsboro, NC 27530-4711
Phone
(984) 444-0586
NPI assigned
Jan 14, 2016
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A12125 NC
Mental Health Counselor 101YM0800X 12125 NC Primary
Professional Counselor 101YP2500X 12125 NC

Addresses

Primary practice location

111 S George St
Goldsboro, NC 27530-4711

Mailing address

111 S George St
Goldsboro, NC 27530-4711
Phone (984) 444-0586

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710005304 NC Practitioner - Mental Health Counselor 6204371594 Reassigns benefits to 2 organizations

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
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12125NCMDMental Health Counselor
A12125NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC CurrentSince Jun 3, 2024 Accepting new patients
Carolina Outreach, LLC Mental Health CurrentSince Jun 3, 2024 Accepting new patients

Locations

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1023474418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GEORGE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304711",
            "telephone_number": "984-444-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GEORGE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304711",
            "telephone_number": "984-444-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "CALEB",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.