Active NPI
Charles Matthew Cox, LCASA
- Mental Health Counselor
- Greenville, NC
National Provider Identifier
1477958148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11224
- Practice address
- 2269 Stantonsburg Rd
Greenville, NC 27834-2841 - Phone
- (252) 439-0700
- Fax
- (252) 439-0900
- NPI assigned
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20393 | NC | |
| Mental Health Counselor | 101YM0800X | 11224 | NC | Primary |
Addresses
Primary practice location
2269 Stantonsburg Rd
Greenville, NC 27834-2841
Mailing address
600 Lynndale CT
Suite D
Greenville, NC 27858-5443
Phone (252) 353-8001
Other practice location 1
600 Lynndale Ct
Suite D
Greenville, NC 27858-5443
Phone (252) 353-8001
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20393 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11224 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox Therapeutic Services, PLLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Past | Accepting new patients |
Locations
806 E 10th St
Ste 3126
Greenville, NC 27858
Phone (252) 258-0822
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Greenville, NC
- NPI 1750055471
Addiction (Substance Use Disorder)
-
- Pharmacy
- New Bern, NC
- NPI 1013769629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477958148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LYNNDALE CT",
"address_2": "SUITE D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585443",
"telephone_number": "252-353-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2269 STANTONSBURG RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342841",
"telephone_number": "252-439-0700",
"fax_number": "252-439-0900"
}
],
"practiceLocations": [
{
"address_1": "600 Lynndale Ct",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278585443",
"country_code": "US",
"telephone_number": "252-353-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COX",
"first_name": "CHARLES",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "LCASA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "20393",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.