Individual provider Active NPI

Trelonnie D Owens, BA

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1609321793
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
L28489 Issued in NC
Practice address
10949 Wilklee Dr
Charlotte, NC 28277-2081
Phone
(910) 499-1072
NPI assigned
Aug 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1228757 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X L28489 NC Primary

Addresses

Primary practice location

10949 Wilklee Dr
Charlotte, NC 28277-2081

Mailing address

10949 Wilklee Dr
Charlotte, NC 28277-2081
Phone (910) 499-1072

Other identifiers 1

IdentifierTypeStateIssuer
1228757OtherNCNORTH CAROLINA DEPARTMENT FO VOCATIONAL REHABILITATION

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
L28489NCMDAddiction (Substance Use Disorder) Counselor
1228757NCMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Young Wings Transit Non-Emergency Medical Transport (Van) PastSince Aug 18, 2019 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, 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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1609321793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10949 WILKLEE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772081",
            "telephone_number": "910-499-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10949 WILKLEE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772081",
            "telephone_number": "910-499-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TRELONNIE",
        "middle_name": "D",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "1228757",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "L28489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA DEPARTMENT FO VOCATIONAL REHABILITATION",
            "identifier": "1228757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.