Individual provider Active NPI

Greta Mikus

  • Marriage & Family Therapist
  • Lenoir, NC
National Provider Identifier
1083055594
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1795 Issued in NC
Practice address
407 Mulberry St SW
Lenoir, NC 28645-5722
Phone
(828) 394-6797
Fax
(828) 394-6721
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1795 NC Primary
Counselor 101Y00000X

Addresses

Primary practice location

407 Mulberry St SW
Lenoir, NC 28645-5722

Mailing address

407 Mulberry St SW
Lenoir, NC 28645-5722
Phone (828) 394-6720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmikus771597@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002040 NC Practitioner - Marriage and Family Therapist 2668879701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

407 Mulberry St SW
Lenoir, NC 28645-5722
Phone (828) 394-6722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1795NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jan 18, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jan 18, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

407 Mulberry St SW
Lenoir, NC 28645
Phone (828) 394-6720

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: gmikus771597@direct.unc.nchie.net

Organizations & group practices 4

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1083055594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455722",
            "telephone_number": "828-394-6720",
            "fax_number": "828-394-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455722",
            "telephone_number": "828-394-6797",
            "fax_number": "828-394-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "GRETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1795",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmikus771597@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "407 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.