Individual provider Active NPI

Caryn Marie Coons, LPC-S

  • Professional Counselor
  • Bolivia, NC
National Provider Identifier
1033150628
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 3445 Issued in NC
Practice address
1041 Old Ocean Hwy
Bolivia, NC 28422-8584
Phone
(910) 754-7908
Fax
(910) 799-3313
NPI assigned
Jun 8, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 3338 SC
Professional Counselor 101YP2500X LPC 3445 NC Primary

Addresses

Primary practice location

1041 Old Ocean Hwy
Bolivia, NC 28422-8584

Mailing address

610 S College Rd
Wilmington, NC 28403-3202
Phone (910) 799-1071

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
I20240715001176 NC Practitioner - Mental Health Counselor 3870038847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

1041 Old Ocean Hwy
Bolivia, NC 28422-8584
Phone (910) 799-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 3445NCMDProfessional Counselor
LPC 3338SCMDProfessional Counselor
3445NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Carenet Inc Professional CurrentSince Feb 10, 2024 Accepting new patients
Carenet Inc CurrentSince Feb 10, 2024 Accepting new patients
Carenet, Inc. Past Accepting new patients
Carenet, Inc Professional PastSince May 25, 2021 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

3219 Landmark St
Ste 9
Greenville, NC 27834

4853 Masonboro Loop Rd
Wilmington, NC 28409
Phone (910) 799-1071

610 S College Rd
Wilmington, NC 28403
Phone (910) 799-1071

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1033150628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033202",
            "telephone_number": "910-799-1071",
            "fax_number": "910-799-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 OLD OCEAN HWY",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228584",
            "telephone_number": "910-754-7908",
            "fax_number": "910-799-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONS",
        "first_name": "CARYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "LPC 3338",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC 3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.