Active NPI
Cathleen C Johnstone, LCMHC, LCAS
- Professional Counselor
- Hiddenite, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13894
- Practice address
- 105 Hiddenite Church Rd
Hiddenite, NC 28636-8168 - Phone
- (828) 989-7763
- NPI assigned
- May 23, 2018
- Last updated
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13894 | NC | MD | Professional Counselor |
| A13894 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Support Associates, PC | Professional | Current | 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.
-
- Professional Counselor
- Hiddenite, NC
- NPI 1952642472
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.