NPIMap

Individual provider Active NPI

Charles Joseph Lacavera, MS, CRC, CCS, LPCS

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1073729448
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCS #5318S Issued in NC
Practice address
401 W First St
Suite F
Greenville, NC 27834-1905
Phone
(252) 327-1014
Fax
(252) 695-0207
NPI assigned
May 15, 2007
Last updated
Feb 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS 1021 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS #459 NC
Professional Counselor 101YP2500X LPC 5318 NC
Professional Counselor 101YP2500X LPCS #5318S NC Primary

Addresses

Primary practice location

401 W First St
Suite F
Greenville, NC 27834-1905

Mailing address

PO Box 8485
Greenville, NC 27835-8485
Phone (252) 327-1014

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
Master of Science

State licenses

LicenseStateTypeSpecialty
CCS #459NCMDAddiction (Substance Use Disorder) Counselor
LCAS 1021NCMDAddiction (Substance Use Disorder) Counselor
LPC 5318NCMDProfessional Counselor
LPCS #5318SNCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Seasons Treatment Services Inc Past Accepting new patients
Integrity Life Coaching & Professional Counseling, LLC. Past Accepting new patients
Integrity Life Coaching & Professional Counseling, LLP Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330214400000",
    "number": "1073729448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8485",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358485",
            "telephone_number": "252-327-1014",
            "fax_number": "252-695-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FIRST ST",
            "address_2": "SUITE F",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341905",
            "telephone_number": "252-327-1014",
            "fax_number": "252-695-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAVERA",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MS, CRC, CCS, LPCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 1021",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CCS #459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC 5318",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPCS #5318S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.