Individual provider Active NPI

Charlene Edwards, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
National Provider Identifier
1346527314
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1913 Issued in NC
Practice address
501 Paladin Dr
Greenville, NC 27834-7826
Phone
(252) 353-5346
Fax
(252) 321-7300
NPI assigned
Nov 4, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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 1913 NC Primary

Addresses

Primary practice location

501 Paladin Dr
Greenville, NC 27834-7826

Mailing address

4300 Sapphire CT Ste 110
Greenville, NC 27834-9079
Phone (252) 830-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003006487 NC Practitioner - Clinical Social Worker 1850666785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dream Provider Care ServicesGroup PAC ID 3971662636, 5 clinicians

Practice addresses (Care Compare)

216 Stewart Pkwy
Washington, NC 27889-4972
Phone (252) 946-0585

501 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 353-5346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1913NCMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virgina, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services CurrentSince Aug 31, 2017 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Current Accepting new patients
Port Health Services CurrentSince Aug 31, 2017 Accepting new patients
Port Health Services Addiction (Substance Use Disorder) Current Accepting new patients
Dream Provider Care Services Addiction (Substance Use Disorder) CurrentSince Nov 6, 2023 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients

Locations

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

501 Paladin Dr
Greenville, NC 27834
Phone (252) 353-5346

231 Memorial Dr
Ste Ab
Jacksonville, NC 28546
Phone (910) 353-5354

1309 Tatum Dr
New Bern, NC 28560
Phone (252) 672-2141

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

216 Stewart Pkwy
Washington, NC 27889
Phone (252) 341-4497

706 N Thompson St
Whiteville, NC 28472
Phone (910) 353-0109

Interoperability endpoints

  • Direct secure messaging: dreamprovidercareservicesinc.charleneedwards@158148.advancedmd-direct.com

Organizations & group practices 10

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1346527314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT STE 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349079",
            "telephone_number": "252-830-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PALADIN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-353-5346",
            "fax_number": "252-321-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLENE",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.