Active NPI
Arthur Klose, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1508403742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25942
- Practice address
- 3610 Bush St
Raleigh, NC 27609-7511 - Phone
- (919) 876-3130
- NPI assigned
- Dec 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25942 | NC | Primary |
Addresses
Primary practice location
3610 Bush St
Raleigh, NC 27609-7511
Mailing address
3610 Bush St
Raleigh, NC 27609-7511
Phone (919) 876-3130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25942 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Therapy Center LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Holly Springs, NC
- NPI 1578231577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1508403742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 BUSH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097511",
"telephone_number": "919-876-3130",
"fax_number": "919-469-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 BUSH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097511",
"telephone_number": "919-876-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSE",
"first_name": "ARTHUR",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.