Individual provider Active NPI

Luke Short, CRC, LCMHC-A

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1255019204
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18951 Issued in NC
Practice address
1550 Hendersonville Rd Ste 202
Asheville, NC 28803-3245
Phone
(828) 333-9320
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 642058 NC
Mental Health Counselor 101YM0800X A18951 NC Primary

Addresses

Primary practice location

1550 Hendersonville Rd Ste 202
Asheville, NC 28803-3245

Mailing address

1550 Hendersonville Rd Ste 202
Asheville, NC 28803-3245
Phone (828) 333-9320

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

State licenses

LicenseStateTypeSpecialty
A18951NCMDMental Health Counselor
642058NCMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cotswold Clinician Support Services CurrentSince Jul 16, 2023 Accepting new patients

Locations

1550 Hendersonville Rd
Ste 202
Asheville, NC 28803
Phone (828) 333-9320

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1255019204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HENDERSONVILLE RD STE 202",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033245",
            "telephone_number": "828-333-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HENDERSONVILLE RD STE 202",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033245",
            "telephone_number": "828-333-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LUKE",
        "credential": "CRC, LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NC",
            "license": "642058",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.