Cabin Village and Associates, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CABIN VILLAGE AND ASSOCIATES, LLC

Practice address

1151 W Lebanon St Ste 200
Mount Airy, NC 27030-2225

Phone

(276) 728-6703

NPI assigned

May 16, 2022

Last updated

Jun 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clinton Edwards, LCSWNPI 1376108191

Title

Owner

Phone

(276) 728-6703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clinton Jamie Edwards, MA, M.ED, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Mount Airy, NC
  • NPI 1376108191
  NPD Authorized official

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1194462747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ROCKFORD ST STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305026",
            "telephone_number": "276-728-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W LEBANON ST STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302225",
            "telephone_number": "276-728-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABIN VILLAGE AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-728-6703",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Ann Burns, MSN, FNP-BC
• Michelle Renee Butler, FNP-BC
• Stephen Victor Button, D.C.
• Buttonwood Chiropractic Center PC
• Cynthia Cabaniss
• Kaitlyn Caldwell
• Debra Lynn Campbell, PA-C
• Carenet, Inc. (Baptist Hospital Carenet Counseling Centers)
• Carolina Anesthesia Group PLLC
• Carolina Child and Family Services, Inc.

• Addiction (Substance Use Disorder) Counselor in Mount Airy, NC
• Providers in Mount Airy, 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 Jun 11, 2022; 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.