NPIMap

Individual provider Active NPI

Evelyn Margaret Thomas, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Shallotte, NC
National Provider Identifier
1053079517
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4437 Main St
Shallotte, NC 28470-4451
Phone
(910) 754-4449
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

4437 Main St
Shallotte, NC 28470-4451

Mailing address

4437 Main St
Shallotte, NC 28470-4451
Phone (910) 754-4449

Other names 1

  • Evelyn Margaret Thomas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ShallotteTreatmentAssociates

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treatment Centers LLC CurrentSince Mar 11, 2025 Accepting new patients
Treatment Centers LLC PastSince Dec 5, 2021 Accepting new patients

Locations

4437 Main St
Shallotte, NC 28470
Phone (910) 617-0222

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1053079517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704451",
            "telephone_number": "910-754-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704451",
            "telephone_number": "910-754-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EVELYN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ShallotteTreatmentAssociates",
            "affiliation": "N",
            "address_1": "4437 Main St",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284704451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "THOMAS",
            "middle_name": "MARGARET",
            "credential": "LCAS-A,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.