Kevin Patrick Walsh

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC-23323 Issued in NC

Practice address

825 E 2ND Ave
Gastonia, NC 28054-4256

Phone

(704) 854-9102

Fax

(704) 854-9913

NPI assigned

Mar 9, 2021

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Beginnings of the Southern Piedmont

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1245581511
  NPD (past)
• New Beginnings of the Southern Piedmont LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1578835625
  NPD (past)
• New Beginnings of the Southern Piedmont, LLC

  • Counselor
  • Gastonia, NC
  • NPI 1700900479

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1396330585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 FOUR MILE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779063",
            "telephone_number": "704-773-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544256",
            "telephone_number": "704-854-9102",
            "fax_number": "704-854-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Old Monroe Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280795410",
            "country_code": "US",
            "telephone_number": "704-821-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034516",
            "country_code": "US",
            "telephone_number": "704-334-6574",
            "fax_number": "704-337-2824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-23323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Gastonia, NC
• Providers in Gastonia, 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 Mar 9, 2021; 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.