Jovanca Nicole McCoullough, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14488 Issued in NC

Practice address

1410 E Franklin St # 500
Monroe, NC 28112-5160

Phone

(704) 289-9869

Fax

(704) 332-0124

NPI assigned

Mar 27, 2026

Last updated

Mar 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1235078981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E FRANKLIN ST # 500",
            "address_2": "ARCHDALE DRIVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-606-3182",
            "fax_number": "704-317-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E FRANKLIN ST # 500",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-289-9869",
            "fax_number": "704-332-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOULLOUGH",
        "first_name": "JOVANCA",
        "middle_name": "NICOLE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "14488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Gulledge McCollum, OTR/L
• April McConnell
• George Ross McConnell, CSAC
• Dallas Chandler McCorkle, DO
• Theresa Wilhelmena McCormick-Dunlap, MSW, LCSW
• Milton McCoy, RPH
• Jeffrey Robet McCutchen, D.O.
• Holly Marie McDanel, PHARMD
• Carsyn Rose Baucom McDonald, LCMHCA
• Julie Hutchinson McGinnis, O.D.

• Addiction (Substance Use Disorder) Counselor in Monroe, NC
• Providers in Monroe, 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 Mar 27, 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.