Individual provider Active NPI

Dameko Naishon Thorpe, MSW,LCSWA

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1033458666
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-25384 Issued in NC
Practice address
1977 J N Pease PL Ste 104
Charlotte, NC 28262-4528
Phone
(704) 274-2978
NPI assigned
Feb 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25384 NC Primary
Clinical Social Worker 1041C0700X P007853 NC

Addresses

Primary practice location

1977 J N Pease PL Ste 104
Charlotte, NC 28262-4528

Mailing address

11621 Rudolph Place Dr
Pineville, NC 28134-9155
Phone (803) 347-6668

Other practice location 1

416 McCullough Dr Ste 155
Charlotte, NC 28262-4391
Phone (980) 335-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-25384NCMDAddiction (Substance Use Disorder) Counselor
P007853NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anuvia Prevention & Recovery, Center, Inc. Addiction (Substance Use Disorder) Past Accepting new patients
Anuvia Prevention and Recovery Center, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1033458666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 RUDOLPH PLACE DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349155",
            "telephone_number": "803-347-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624528",
            "telephone_number": "704-274-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 McCullough Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624391",
            "country_code": "US",
            "telephone_number": "980-335-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORPE",
        "first_name": "DAMEKO",
        "middle_name": "NAISHON",
        "name_prefix": "Mr.",
        "credential": "MSW,LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25384",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.