Individual provider Active NPI

Charles Matthew Cox, LCASA

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1477958148
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11224 Issued in NC
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260522002563 NC Practitioner - Mental Health Counselor 0941770671 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
20393NCMDAddiction (Substance Use Disorder) Counselor
11224NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Therapeutic Services, PLLC Addiction (Substance Use Disorder) CurrentSince Aug 8, 2021 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. PastSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.