Individual provider Active NPI

Teresa Stokes

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1184131609
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CADC-32015 Issued in NC
Practice address
756 Tyvola Rd Ste 116
Charlotte, NC 28217-3535
Phone
(517) 977-4510
NPI assigned
Jan 5, 2018
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC-32015 NC Primary
Case Manager/Care Coordinator 171M00000X NU
Peer Specialist 175T00000X NU

Addresses

Primary practice location

756 Tyvola Rd Ste 116
Charlotte, NC 28217-3535

Mailing address

913 W Holmes Rd Ste 275
Lansing, MI 48910-0432
Phone (517) 272-0520

Other practice location 1

10150 Mallard Creek Rd Ste 100
Charlotte, NC 28262-4518
Phone (980) 299-6631

Other practice location 2

1556 Union Rd Ste D
Gastonia, NC 28054-2208
Phone (517) 977-4510

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

State licenses

LicenseStateTypeSpecialty
CADC-32015NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Services CurrentSince May 12, 2024 Accepting new patients
Wellness Inx Past Accepting new patients
Carolina Therapeutic Services First PastSince Dec 21, 2025 Accepting new patients

Locations

756 Tyvola Rd
Ste 116
Charlotte, NC 28217
Phone (646) 270-2269

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1184131609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 275",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100432",
            "telephone_number": "517-272-0520",
            "fax_number": "517-272-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD STE 116",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173535",
            "telephone_number": "517-977-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Mallard Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624518",
            "country_code": "US",
            "telephone_number": "980-299-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 Union Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542208",
            "country_code": "US",
            "telephone_number": "517-977-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-32015",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.