Active NPI
Caleb Harding, LCMHC
- Mental Health Counselor
- Goldsboro, NC
National Provider Identifier
1023474418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12125
- Practice address
- 111 S George St
Goldsboro, NC 27530-4711 - Phone
- (984) 444-0586
- NPI assigned
- Jan 14, 2016
- Last updated
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12125 | NC | MD | Mental Health Counselor |
| A12125 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Outreach, LLC | Current | Accepting new patients | |
| Carolina Outreach, LLC | Mental Health | Current | 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.
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Clinical Social Worker
- Durham, NC
- NPI 1083723266
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.