Active NPI
Ronald John Pallick, LCAS, P-LCSW, LSSW
- Addiction (Substance Use Disorder) Counselor
- Spruce Pine, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1329
- Practice address
- 205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713 - Phone
- (828) 765-4463
- Fax
- (828) 765-6257
- NPI assigned
- Mar 27, 2009
- Last updated
- Mar 27, 2009
- 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 | 1329 | NC | Primary |
| Clinical Social Worker | 1041C0700X | P004410 | NC |
Addresses
Primary practice location
205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713
Mailing address
205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713
Phone (828) 765-4463
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
- Clinical Social Worker
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Oak PLZ
Suite 208
Asheville, NC 28801-3000
Phone (828) 575-9760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P004410 | NC | MD | Clinical Social Worker |
| 1329 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling and Psychological Services | Clinical | Current | Accepting new patients |
| Appalachian Counseling and Psychological Services, Inc. | Current | Accepting new patients |
Locations
1 Oak Plz
Ste 208
Asheville, NC 28801
Phone (828) 575-9760
600A Centrepark Dr
Asheville, NC 28805
Phone (828) 575-9760
205 Locust St
Spruce Pine, NC 28777
Phone (828) 575-9760
205 Locust St
#C
Spruce Pine, NC 28777
Phone (828) 765-4463
Organizations & group practices 2
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.
-
- Psychologist
- Asheville, NC
- NPI 1700264058
-
- Psychologist
- Asheville, NC
- NPI 1578961116
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1508008277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LOCUST AVE",
"address_2": "SUITE C",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287772713",
"telephone_number": "828-765-4463",
"fax_number": "828-765-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 LOCUST AVE",
"address_2": "SUITE C",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287772713",
"telephone_number": "828-765-4463",
"fax_number": "828-765-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLICK",
"first_name": "RONALD",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LCAS, P-LCSW, LSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1329",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P004410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spruce Pine, NC
- Newtomics PLLC (The Clinic of Joshua Newton, PA-C)
- Newtomics PLLC (Newtomics Laboratory)
- Joshua M Newton, PA
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #07574)
- Patricia Susan Noser, CNP
- Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
- Jacqueline Paramore Parker, FNP
- Hannah Greene Phillips, M.S. CCC-SLP
- Tonya Phillips, MA,RD,LDN
- Jennifer D Poteat, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.