Active NPI
Charmaine Nicole James, LPCA
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1487128013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13689
- Practice address
- 2151 Skibo Rd
Fayetteville, NC 28314-0252 - Phone
- (910) 689-5333
- NPI assigned
- Jan 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-24238 | NC | |
| Professional Counselor | 101YP2500X | A13689 | NC | |
| Professional Counselor | 101YP2500X | 13689 | NC | Primary |
Addresses
Primary practice location
2151 Skibo Rd
Fayetteville, NC 28314-0252
Mailing address
1930 Harcourt Cir Apt 103
Fayetteville, NC 28304-0585
Phone (910) 882-4424
Other practice location 1
1930 Harcourt Cir Apt 103
Fayetteville, NC 28304-0585
Phone (910) 882-4424
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-24238 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A13689 | NC | MD | Professional Counselor |
| 13689 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destined 2 Thrive LLC | Professional | Current | Accepting new patients |
| Carter Clinic PA | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Cape Fear Behavioral Health Center LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Carter Clinic, P.a. | Past | Accepting new patients | |
| Carter Clinic PA | Past | Accepting new patients | |
| Carter Clinic, PA | Past | Accepting new patients |
Locations
4009 Barrett Dr
Ste 102
Raleigh, NC 27609
Organizations & group practices 7
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.
-
- Professional Counselor
- Fayetteville, NC
- NPI 1255906806
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1912959834
-
- Psychiatry Physician
- Mooresville, NC
- NPI 1467081471
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1790062057
-
- Psychiatry Physician
- Wilmington, NC
- NPI 1972990877
-
- Psychiatry Physician
- Kinston, NC
- NPI 1982298261
-
- Psychiatry Physician
- Dunn, NC
- NPI 1215461231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1487128013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 HARCOURT CIR APT 103",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283040585",
"telephone_number": "910-882-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140252",
"telephone_number": "910-689-5333"
}
],
"practiceLocations": [
{
"address_1": "1930 Harcourt Cir Apt 103",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283040585",
"country_code": "US",
"telephone_number": "910-882-4424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "CHARMAINE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2021-07-29",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-24238",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13689",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.