Individual provider Active NPI

Cheryl Gentile, MS LPC CCAS CRC MAC

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
National Provider Identifier
1386718658
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
114 Issued in NC
Practice address
620 Lynndale CT
Suite C
Greenville, NC 27858
Phone
(252) 752-8602
Fax
(252) 752-8103
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 114 NC Primary
Professional Counselor 101YP2500X LPC 2055 NC

Addresses

Primary practice location

620 Lynndale CT
Suite C
Greenville, NC 27858

Mailing address

620 Lynndale CT
Suite C
Greenville, NC 27858
Phone (252) 752-8602

Other identifiers 3

IdentifierTypeStateIssuer
185968OtherNCMEDCOST
6102140MedicaidNC
1232LOtherNCBCBS

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
I20240722003121 NC Practitioner - Mental Health Counselor 4284170689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Counseling IncGroup PAC ID 5496291882, 4 clinicians

Practice addresses (Care Compare)

620 Lynndale CT
Suite C
Greenville, NC 27858-5462
Phone (252) 752-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC 2055NCMDProfessional Counselor
2055NCMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Counseling Inc Addiction (Substance Use Disorder) CurrentSince May 1, 2024 Accepting new patients

Locations

620 Lynndale Ct
Ste C
Greenville, NC 27858
Phone (252) 752-8602

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, 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386718658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-752-8602",
            "fax_number": "252-752-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-752-8602",
            "fax_number": "252-752-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "CHERYL",
        "credential": "MS LPC CCAS CRC MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "114",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC 2055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "185968",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102140",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1232L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.