Latisha Fay Carter-Chavis, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-24365 Issued in NC

Practice address

2200 Clyborn Church Rd
Lumberton, NC 28360

Phone

(910) 739-9160

NPI assigned

Jan 22, 2018

Last updated

Jun 26, 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 names 1

• Latisha Fay Carter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Lumberton Treatment Center LLC

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1548633555
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1063920387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CLYBORN CHURCH RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609356",
            "telephone_number": "910-739-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLYBORN CHURCH RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28360",
            "telephone_number": "910-739-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-CHAVIS",
        "first_name": "LATISHA",
        "middle_name": "FAY",
        "credential": "LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24365",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATISHA",
            "last_name": "CARTER",
            "middle_name": "FAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolina Respicare Pharmacy,Inc
• Carolina Urology PA
• Alesia Renee Carr, LPC-A
• Zachary Joseph Carriker, MD
• Carter Clinic, P a
• Chiara Lynn Carter, PA-C
• Ginger C Carter
• Hughey Colton Carter, DPM
• Melanie Carter
• Carter's Medical Supplies

• Addiction (Substance Use Disorder) Counselor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.