Kara Ann Watson-Cuellar, LCAS, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11547 Issued in NC

Practice address

1116 Greenwood CLFS
Charlotte, NC 28204

Phone

(704) 334-0524

Fax

(980) 209-9757

NPI assigned

Jan 24, 2007

Last updated

Sep 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bareiter Counseling Center

  • Professional Counselor
  • Charlotte, NC
  • NPI 1548455876
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1033264452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GREENWOOD CLFS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042821",
            "telephone_number": "704-334-0524",
            "fax_number": "980-209-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GREENWOOD CLFS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-334-0524",
            "fax_number": "980-209-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-CUELLAR",
        "first_name": "KARA",
        "middle_name": "ANN",
        "credential": "LCAS, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyiesha Kay Watkins, LCSWA
• Whitney Tremese Watkins
• Bradley Watling, MD
• Watson Home Care Agency LLC
• Ellen Apneseth Watson Wozniak, AUD
• Heather Watson-Kelley, MSW
• Alayna Joi Watson, PHD
• Alexis Swaringer Watson
• Allison Grace Watson, LCSWA
• Avery Anise Watson, BSW, MSW, LCAS-A

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.