Individual provider Active NPI

Carrie Dawn Gearing, LCAS, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Knightdale, NC
National Provider Identifier
1336227461
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1113 Issued in NC
Practice address
2008 Unbridled Dr
Knightdale, NC 27545-7564
Phone
(252) 676-9372
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1113 NC Primary

Addresses

Primary practice location

2008 Unbridled Dr
Knightdale, NC 27545-7564

Mailing address

2008 Unbridled Dr
Knightdale, NC 27545-7564
Phone (252) 676-9372

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
1113NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1336227461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 UNBRIDLED DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457564",
            "telephone_number": "252-676-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 UNBRIDLED DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457564",
            "telephone_number": "252-676-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARING",
        "first_name": "CARRIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LCAS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.