Individual provider Active NPI

Charlene C Hightower, PHD, LCSW-A, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Indian Trail, NC
National Provider Identifier
1053905083
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24334 Issued in NC
Practice address
6003 Sedgewick Rd
Indian Trail, NC 28079-4705
Phone
(336) 837-9722
NPI assigned
Feb 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 24334 NC Primary

Addresses

Primary practice location

6003 Sedgewick Rd
Indian Trail, NC 28079-4705

Mailing address

6003 Sedgewick Rd
Indian Trail, NC 28079-4705
Phone (336) 837-9722

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24334NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053905083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 SEDGEWICK RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794705",
            "telephone_number": "336-837-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 SEDGEWICK RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794705",
            "telephone_number": "336-837-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "CHARLENE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PHD, LCSW-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2025-09-11",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.