Active NPI
Casey Combs, LMFT
- Marriage & Family Therapist
- Mount Airy, NC
National Provider Identifier
1518240902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1401
- Practice address
- 847 W Lake Dr
Mount Airy, NC 27030-2157 - Phone
- (336) 783-6919
- Fax
- (828) 733-8743
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1401 | NC | Primary |
Addresses
Primary practice location
847 W Lake Dr
Mount Airy, NC 27030-2157
Mailing address
895 State Farm Rd
404
Boone, NC 28607-4917
Phone (828) 733-5889
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 |
|---|---|---|---|
| 1401 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lane | Current | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients |
Locations
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715
Interoperability endpoints
- thrivinglanellc.caseycombs@149897.advancedmd-direct.com
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.
-
dba New River Behavioral HealthCare
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1659532562
-
dba New River Behavioral Healthcare
- Foster Care Agency
- Boone, NC
- NPI 1720360944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1518240902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 STATE FARM RD",
"address_2": "404",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-733-5889",
"fax_number": "828-733-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 W LAKE DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302157",
"telephone_number": "336-783-6919",
"fax_number": "828-733-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "CASEY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.