Harold Gino Lilly, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00078 Issued in NC

Practice address

723 S Cox St
Asheboro, NC 27203-6461

Phone

(336) 626-9139

Fax

(336) 683-8256

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Asheboro Psychiatric Services PLLC

  • Psychiatry Physician
  • Asheboro, NC
  • NPI 1790812584
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1366427320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036461",
            "telephone_number": "336-626-9139",
            "fax_number": "336-683-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036461",
            "telephone_number": "336-626-9139",
            "fax_number": "336-683-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "HAROLD",
        "middle_name": "GINO",
        "name_prefix": "Mr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "00078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dequincy Andrew Lewis, M.D.
• Ginger S Lewis, CPHT, CFTS
• Marc Todd Lewis, LCSW
• Stuffon Charles Lewis
• Zhengeng Liang
• Rosalind Jane Lincoln, MS, CAS
• Hannah Lind
• Brittany Lineberry, FNP-C
• Krista Nicole Linin
• Michael David Lininger, M.D, F.A.C.S

• Addiction (Substance Use Disorder) Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.