Organization Active NPI

Clinical Counseling Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Conover, NC
National Provider Identifier
1669097069
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CLINICAL COUNSELING SERVICES INC
Practice address
715 Fairgrove Church Rd SE Ste 202a
Conover, NC 28613-9289
Phone
(828) 638-5907
Fax
(828) 728-7474
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Donna Fletcher, PHD, LCAS, CCSNPI 1467607192
Title
Owner
Phone
(828) 446-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

715 Fairgrove Church Rd SE Ste 202a
Conover, NC 28613-9289

Mailing address

1504 Old Carriage Dr
Newton, NC 28658-8911
Phone (828) 446-7944

National Provider Directory

National Provider Directory

Locations

715 Fairgrove Church Rd SE
Ste 202A
Conover, NC 28613
Phone (828) 638-5907

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1669097069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 OLD CARRIAGE DR",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588911",
            "telephone_number": "828-446-7944",
            "fax_number": "828-728-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FAIRGROVE CHURCH RD SE STE 202A",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139289",
            "telephone_number": "828-638-5907",
            "fax_number": "828-728-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-446-7944",
        "authorized_official_credential": "PHD, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.