Individual provider Active NPI

Corinne Meader, LPC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Mooresville, NC
National Provider Identifier
1326236779
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6005932 Issued in NC
Practice address
108 Gateway Blvd
Ste 207
Mooresville, NC 28117-5596
Phone
(704) 664-1175
Fax
(704) 664-1193
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6005932 NC Primary
Mental Health Counselor 101YM0800X 6733 NC

Addresses

Primary practice location

108 Gateway Blvd
Ste 207
Mooresville, NC 28117-5596

Mailing address

146 Brantley Place Dr
Mooresville, NC 28117-6859
Phone (740) 953-0173

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
6005932NCMDAddiction (Substance Use Disorder) Counselor
6733NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Family Services Past Accepting new patients

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1326236779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BRANTLEY PLACE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176859",
            "telephone_number": "740-953-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD",
            "address_2": "STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175596",
            "telephone_number": "704-664-1175",
            "fax_number": "704-664-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADER",
        "first_name": "CORINNE",
        "credential": "LPC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "6005932",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.