Individual provider Active NPI

Justin Daniel Feasel, LCSW

  • Acupuncturist
  • Gastonia, NC
National Provider Identifier
1518029867
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-2208 Issued in NC
Practice address
1558 Union Rd Ste G
Gastonia, NC 28054-2215
Phone
(980) 329-7231
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-2208 NC Primary
Clinical Social Worker 1041C0700X C005637 NC

Addresses

Primary practice location

1558 Union Rd Ste G
Gastonia, NC 28054-2215

Mailing address

222 N Lafayette St Ste 2
Shelby, NC 28150-4450
Phone (704) 482-2460

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
I20070822001231 NC Practitioner - Clinical Social Worker 2062504095 Practice locations: Gastonia, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1558 Union Rd
Suite G
Gastonia, NC 28054-2215
Phone (980) 329-7231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-2208NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Justin D. Feasel, MSW, LCSW, PLLC Clinical PastSince Sep 5, 2012 Accepting new patients
Piedmont Family Services Clinical Past Accepting new patients
Justin D. Feasel Clinical PastSince Sep 5, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1518029867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST STE 2",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504450",
            "telephone_number": "704-482-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 UNION RD STE G",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542215",
            "telephone_number": "980-329-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASEL",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC-2208",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.