Active NPI
Charles A Stiles, MS, LPC
- Professional Counselor
- Louisburg, NC
National Provider Identifier
1184772956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5491
- Practice address
- 104 N Main St
Suite 200
Louisburg, NC 27549-2516 - Phone
- (919) 496-7781
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5491 | NC | Primary |
Addresses
Primary practice location
104 N Main St
Suite 200
Louisburg, NC 27549-2516
Mailing address
104 N Main St
Suite 200
Louisburg, NC 27549-2516
Phone (919) 496-7781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184772956 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 16, 2024 through Sep 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5491 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1184772956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N MAIN ST",
"address_2": "SUITE 200",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492516",
"telephone_number": "919-496-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N MAIN ST",
"address_2": "SUITE 200",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492516",
"telephone_number": "919-496-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "CHARLES",
"middle_name": "A",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184772956",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.