Individual provider Active NPI

Cathleen C Johnstone, LCMHC, LCAS

  • Professional Counselor
  • Hiddenite, NC
National Provider Identifier
1285125385
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13894 Issued in NC
Practice address
105 Hiddenite Church Rd
Hiddenite, NC 28636-8168
Phone
(828) 989-7763
NPI assigned
May 23, 2018
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13894 NC Primary
Professional Counselor 101YP2500X A13894 NC

Addresses

Primary practice location

105 Hiddenite Church Rd
Hiddenite, NC 28636-8168

Mailing address

PO Box 813
Taylorsville, NC 28681-0813
Phone (828) 989-7763

Other practice location 1

521 Brookdale Dr
Statesville, NC 28677-4107
Phone (828) 989-7763

Other practice location 2

121 E Main Ave
Taylorsville, NC 28681-2514
Phone (828) 989-7763

Other practice location 3

213 Main St NW
Lenoir, NC 28645-5124
Phone (828) 989-7763

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
13894NCMDProfessional Counselor
A13894NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Support Associates, PC Professional CurrentSince Dec 6, 2020 Accepting new patients

Locations

18515 Statesville Rd
Ste C1
Cornelius, NC 28031
Phone (704) 860-0301

105 Hiddenite Church Rd
Hiddenite, NC 28636
Phone (828) 632-8551

521 Brookdale Dr
Statesville, NC 28677
Phone (704) 775-4660

121 E Main Ave
Taylorsville, NC 28681
Phone (828) 238-2836

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1285125385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286810813",
            "telephone_number": "828-989-7763",
            "fax_number": "828-471-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIDDENITE CHURCH RD",
            "city": "HIDDENITE",
            "state": "NC",
            "postal_code": "286368168",
            "telephone_number": "828-989-7763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774107",
            "country_code": "US",
            "telephone_number": "828-989-7763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 E Main Ave",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "NC",
            "postal_code": "286812514",
            "country_code": "US",
            "telephone_number": "828-989-7763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Main St NW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455124",
            "country_code": "US",
            "telephone_number": "828-989-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "CATHLEEN",
        "middle_name": "C",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13894",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiddenite, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.