Tommy Lamar Jeffcoat, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-21119 Issued in NC

Practice address

515 Clanton Rd
Charlotte, NC 28217-1309

Phone

(980) 242-2744

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1073979878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SHARVIEW CIR",
            "address_2": "APT. 1332",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176630",
            "telephone_number": "803-979-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309",
            "telephone_number": "980-242-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "TOMMY",
        "middle_name": "LAMAR",
        "credential": "LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Jean-Jumeau
• Elizabeth Ashley Jean, PHD
• Jacques Jean, FNP-C
• Kashale Hanna Lee Jean
• Lauren Alexis Jeck, MD
• Valencia H Jeffcoat, FNP
• Meredith Jefferies
• Mallory Anne Jeffers
• Yasmine Jeffers, LMFTA
• Alma Lou Jefferson

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, 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 Jan 8, 2016; 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.