Active NPI
Carolina Center for Recovery
- Substance Abuse Rehabilitation Facility
- Charlotte, NC
National Provider Identifier
1669989554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CAROLINA CENTER FOR RECOVERY
- Practice address
- 7349 Statesville Rd
Charlotte, NC 28269-3702 - Phone
- (704) 844-6958
- Fax
- (704) 973-7875
- NPI assigned
- Jan 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Russell Guccio
- Title
- Director of Operations
- Phone
- (704) 844-6958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
7349 Statesville Rd
Charlotte, NC 28269-3702
Mailing address
7349 Statesville Rd
Charlotte, NC 28269-3702
Phone (704) 844-6958
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2142409 | Carolina Center for Recovery | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
7349 Statesville Rd
Ste A
Charlotte, NC 28269
8509 Crown Crescent Ct
Charlotte, NC 28227
Phone (309) 634-9946
1320 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 844-6958
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Raleigh, NC
- NPI 1285498360
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1235735440
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1306455316
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1932778727
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1326144080
-
- Addiction (Substance Use Disorder) Counselor
- Matthews, NC
- NPI 1013587740
-
- Counselor
- Portsmouth, OH
- NPI 1275038945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1669989554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7349 STATESVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693702",
"telephone_number": "704-844-6958",
"fax_number": "704-973-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7349 STATESVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693702",
"telephone_number": "704-844-6958",
"fax_number": "704-973-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA CENTER FOR RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-02",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "GUCCIO",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "704-844-6958",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carolina Behavioral Health Services,PLLC
- Carolina Bone & Joint PA
- Carolina Care Group Inc.
- Carolina Care One, LLC.
- Carolina Care Solutions, LLC
- Carolina Center for Women
- Carolina Chiropractic Group University PLLC
- Carolina Chiropractic of Charlotte
- Carolina Clinical Research, LLC
- Carolina Communication Consultants, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.