Individual provider Active NPI

Anthony TC Redfearn, LMFT/LPC/LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1518303833
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2685 Issued in NC
Practice address
2718 Phillips Ave
Charlotte, NC 28208-7030
Phone
(704) 492-2436
Fax
(704) 303-9457
NPI assigned
May 14, 2013
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2685 NC Primary
Mental Health Counselor 101YM0800X 9307 NC
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X 2472 NC

Addresses

Primary practice location

2718 Phillips Ave
Charlotte, NC 28208-7030

Mailing address

2718 Phillips Ave
Charlotte, NC 28208-7030
Phone (704) 492-2436

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
I20240328002259 NC Practitioner - Mental Health Counselor 1456798222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soul Care, PLLCGroup PAC ID 8224329008, 5 clinicians

Practice addresses (Care Compare)

5501 Executive Ctr Dr
Suite 215
Charlotte, NC 28212-8823
Phone (980) 613-8312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9307NCMDMental Health Counselor
2472NCMDOptometrist
2685NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Care, PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
My Positive Transformation Multi-Specialty PastSince May 26, 2020 Accepting new patients
McLeod Centers for Wellbeing Past Accepting new patients
McLeod Centers for Wellbeing Past Accepting new patients

Locations

5501 Executive Center Dr
Ste 215
Charlotte, NC 28212
Phone (704) 237-0881

3695 Sunset Ave
Unit 8936
Rocky Mount, NC 27804

Organizations & group practices 4

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1518303833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 PHILLIPS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087030",
            "telephone_number": "704-492-2436",
            "fax_number": "704-303-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 PHILLIPS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087030",
            "telephone_number": "704-492-2436",
            "fax_number": "704-303-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "ANTHONY",
        "middle_name": "TC",
        "credential": "LMFT/LPC/LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2685",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9307",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.