Kelli Revels, LCAS, CSI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-22735 Issued in NC

Practice address

901 Old Mars Hill Hwy Ste 3
Weaverville, NC 28787

Phone

(828) 645-3687

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Chase Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Crossroads Treatment Center of Weaverville, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Weaverville, NC
  • NPI 1376073957
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1396196846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLD MARS HILL HWY STE 3",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "28787",
            "telephone_number": "828-645-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 W Medical Ct",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287525590",
            "country_code": "US",
            "telephone_number": "828-659-3966 x2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVELS",
        "first_name": "KELLI",
        "credential": "LCAS, CSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "CHASE",
            "credential": "LCAS, CSI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Susan H. Reinecke, DVM
• Alexis Brooke Richards, CADC-I
• Ridgeline Psychiatry
• Kimberly Roberts, KIMBERLY ROBERTS
• Samuel Francis Robinson, LCMHCA
• Stefanie Robinson, RN

• Addiction (Substance Use Disorder) Counselor in Weaverville, NC
• Providers in Weaverville, 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 Aug 1, 2018; 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.