Active NPI
Andrew James Poff, LCAS
- Addiction (Substance Use Disorder) Counselor
- Statesville, NC
National Provider Identifier
1154643906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 636 Signal Hill Drive Ext
Statesville, NC 28625-4774 - Phone
- (704) 871-2992
- Fax
- (704) 871-2994
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
636 Signal Hill Drive Ext
Statesville, NC 28625-4774
Mailing address
145 Remount Rd
Charlotte, NC 28203-5013
Phone (704) 332-9001
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Centers for Wellbeing | Past | Accepting new patients | |
| McLeod Centers for Wellbeing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1285054411
-
- Community/Behavioral Health Agency
- Statesville, NC
- NPI 1659558922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1154643906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 REMOUNT RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035013",
"telephone_number": "704-332-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 SIGNAL HILL DRIVE EXT",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254774",
"telephone_number": "704-871-2992",
"fax_number": "704-871-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POFF",
"first_name": "ANDREW",
"middle_name": "JAMES",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Piedmont Healthcare, PA
- Piedmont Stone Center
- Piedmont Stone Center
- Piedmont Village at Statesville, Inc. (Piedmont Village at Statesville)
- Kayla Pierce, RN
- David Alexander Jamsky Pollack, MACMHC, LPCA, NCC
- Karen Hedrick Pope
- David Porter, MSW, LCSWA
- Natalie Anne Porter, PHARMD
- Iris Brownell Poston, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.