Cecilia Smith Allen, LCAS, LCMHCA, NCC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sanford, NC
NPI 1235787227 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1235787227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LCAS-27915 (NC)
- Practice address
- 2515 Watson Ave Ste a
Sanford, NC 27332-6174 - Phone
- (910) 759-0374
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2515 Watson Ave
Suite a
Sanford, NC 27332-6174
Phone (910) 759-0374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240705001285 | NC | Practitioner - Mental Health Counselor | 8426591710 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-27915 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Life Counseling, Wellness & Consulting, LLC | Counselor | Current |
Accepting new patients |
Locations
2515 Watson Ave
Ste A
Sanford, NC 27332
Phone (910) 759-0374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 889 | SC | |
| Mental Health Counselor | 101YM0800X | A18765 | NC | |
| Counselor | 101Y00000X | A18765 | NC | |
| Professional Counselor | 101YP2500X | A18765 | NC | |
| Adult Mental Health Clinic/Center | 261QM0850X | A18765 | NC | |
| Health & Wellness Coach | 171400000X | |||
| Public Health or Welfare Agency | 251K00000X | A18765 | NC | |
| Community/Behavioral Health Agency | 251S00000X | A18765 | NC | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | A18765 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-27915 | NC | Yes |
Addresses
Primary practice location
2515 Watson Ave Ste a
Sanford, NC 27332-6174
Mailing address
1916 Brookcliff Rd
Sanford, NC 27330-7706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827958 | Other | NC | NORTH CAROLINA DEPARTMENT OF SECRETARY OF STATE |
Other providers in Sanford, NC
- Rachel Alderton
- Tara Renay Alin
- Yousif Alkadhi
- All Womens Healthcare PA
- Christine Dawn Allen Brock
- Samuel David Aloian Jr.
- Felicia Alston
- Alternative Care Treatments Systems
- Yulai Alvarez-Rodriguez
- Ryan Patrick Amely-Shannon
All providers in Sanford, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.