Charlie Clemons Jr., LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-20133 Issued in NC

Practice address

709 E Market St Ste 100B
Greensboro, NC 27401-3282

Phone

(336) 378-0109

NPI assigned

Oct 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1376094904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 VIRGINIA AVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413761",
            "telephone_number": "336-259-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E MARKET ST STE 100B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013282",
            "telephone_number": "336-378-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "CHARLIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clect Transportation Services, LLC
• Amy Dunbar Clegg, NP-C
• Olivia Mustin Clelland, PA
• Clement Counseling and Consulting, PLLC
• Dominiquie Clemmons-James, PHD, LPC, CRC, BCB
• Lachaya Mary Clemons, APRN
• Alexis M Clemonts
• Randall W Clendenin, CO, C-PED
• Christin Esther Clercin-Watson, LCMHC
• Shannon Clinard, RN, BSN

• Addiction (Substance Use Disorder) Counselor in Greensboro, NC
• Providers in Greensboro, 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 Oct 19, 2016; 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.