Active NPI
Wanda McCain Gaines, LPC
- Professional Counselor
- Asheboro, NC
National Provider Identifier
1649667759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9038
- Practice address
- 505 S Church St
Asheboro, NC 27203-5673 - Phone
- (336) 625-3888
- Fax
- (336) 625-6113
- NPI assigned
- Apr 16, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9038 | NC | Primary |
Addresses
Primary practice location
505 S Church St
Asheboro, NC 27203-5673
Mailing address
4432 Lamb St
Randleman, NC 27317-7214
Phone (336) 498-3761
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9038 | NC | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asheboro Family Counseling, PLLC | Past | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Asheboro, NC
- NPI 1306402326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1649667759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4432 LAMB ST",
"city": "RANDLEMAN",
"state": "NC",
"postal_code": "273177214",
"telephone_number": "336-498-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S CHURCH ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035673",
"telephone_number": "336-625-3888",
"fax_number": "336-625-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "WANDA",
"middle_name": "MCCAIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.