Active NPI
Ethel Mae Elizabeth Alexander, LCAS
- Addiction (Substance Use Disorder) Counselor
- Yanceyville, NC
National Provider Identifier
1538083647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-31853
- Practice address
- 1150 NC Highway 86 N
Yanceyville, NC 27379-8646 - Phone
- (336) 694-1175
- Fax
- (336) 510-5295
- NPI assigned
- Aug 10, 2026
- Sex
- Female
- 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 | LCAS-31853 | NC | Primary |
Addresses
Primary practice location
1150 NC Highway 86 N
Yanceyville, NC 27379-8646
Mailing address
1150 NC Highway 86 N
Yanceyville, NC 27379-8646
Phone (336) 694-1175
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1538083647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NC HIGHWAY 86 N",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "273798646",
"telephone_number": "336-694-1175",
"fax_number": "336-510-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NC HIGHWAY 86 N",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "273798646",
"telephone_number": "336-694-1175",
"fax_number": "336-510-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "ETHEL MAE",
"middle_name": "ELIZABETH",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-31853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yanceyville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.