Active NPI
Cindy Verdoorn, LCAS
- Addiction (Substance Use Disorder) Counselor
- Pineville, NC
National Provider Identifier
1225637796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20635
- Practice address
- 10831 Pineville Rd Unit 9
Pineville, NC 28134-8137 - Phone
- (980) 579-4889
- NPI assigned
- Oct 25, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20635 | NC | Primary |
Addresses
Primary practice location
10831 Pineville Rd Unit 9
Pineville, NC 28134-8137
Mailing address
108 Rainford CT
Mooresville, NC 28117-4119
Phone (704) 252-1012
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1225637796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 RAINFORD CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174119",
"telephone_number": "704-252-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10831 PINEVILLE RD UNIT 9",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348137",
"telephone_number": "980-579-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDOORN",
"first_name": "CINDY",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "20635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.