Active NPI
Ashley Caudle
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1407573645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 508 Eastway Dr
Charlotte, NC 28205-1421 - Phone
- (704) 940-6542
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
508 Eastway Dr
Charlotte, NC 28205-1421
Mailing address
508 Eastway Dr
Charlotte, NC 28205-1421
Other practice location 1
521 Clanton Rd
Charlotte, NC 28217-1369
Phone (704) 332-9001
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | securerecords.sanforf.html | Direct | |
| FHIR URL | securerecords.sanforf.html | Direct | |
| FHIR URL | securerecords.sanforf.html | Direct | |
| FHIR URL | securerecords.sanforf.html | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Centers for Wellbeing | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1447438106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1407573645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 EASTWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 EASTWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051421",
"telephone_number": "704-940-6542"
}
],
"practiceLocations": [
{
"address_1": "521 Clanton Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282171369",
"country_code": "US",
"telephone_number": "704-332-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAUDLE",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanforf.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "521 Clanton Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282171369",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanforf.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "508 Eastway Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282051421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanforf.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "508 Eastway Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282051421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanforf.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "508 Eastway Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282051421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.