Individual provider Active NPI

Gabriell Charlotte Williams-Harkey, CSAC 25183

  • Addiction (Substance Use Disorder) Counselor
  • Shelby, NC
National Provider Identifier
1447871173
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25183 Issued in NC
Practice address
1895 E Dixon Blvd
Shelby, NC 28152-6901
Phone
(704) 466-3970
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25183 NC Primary

Addresses

Primary practice location

1895 E Dixon Blvd
Shelby, NC 28152-6901

Mailing address

168 Pete Mauney Rd
Lawndale, NC 28090-9394
Phone (704) 745-8123

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GWilliams-Harkey@ctc.care

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

State licenses

LicenseStateTypeSpecialty
25183NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1447871173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 PETE MAUNEY RD",
            "city": "LAWNDALE",
            "state": "NC",
            "postal_code": "280909394",
            "telephone_number": "704-745-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526901",
            "telephone_number": "704-466-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-HARKEY",
        "first_name": "GABRIELL",
        "middle_name": "CHARLOTTE",
        "credential": "CSAC 25183",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GWilliams-Harkey@ctc.care",
            "affiliation": "N",
            "address_1": "168 Pete Mauney Rd",
            "city": "Lawndale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280909394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.