Active NPI
Gary J Kasey, LCSWA
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1689371064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P014532
- Practice address
- 1213 W Morehead St FL 5
Charlotte, NC 28208-5576 - Phone
- (980) 431-2375
- Fax
- (980) 431-2378
- NPI assigned
- Feb 15, 2023
- Last updated
- Apr 10, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P014532 | NC | Primary |
Addresses
Primary practice location
1213 W Morehead St FL 5
Charlotte, NC 28208-5576
Mailing address
1213 W Morehead St FL 5
Charlotte, NC 28208-5576
Phone (980) 431-2375
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 |
|---|---|---|---|
| P014532 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower to Success Enterprise LLC | Mental Health | Current | Accepting new patients |
| Empower to Success Enterprise LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1124665641
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1326620477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1689371064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 W MOREHEAD ST FL 5",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085576",
"telephone_number": "980-431-2375",
"fax_number": "980-431-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 W MOREHEAD ST FL 5",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085576",
"telephone_number": "980-431-2375",
"fax_number": "980-431-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASEY",
"first_name": "GARY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-15",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P014532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Kasaji Medical PC (Queen city primary and urgent care)
- Mohammad Khalil Kasaji, MD
- Kasandra Wheeler PLLC
- Tshikwakwa Kasembwe, FNP-BC
- Kasey Strouse Nutrition (Normally Nourished)
- Ahmad Abbas Kashif Al Ghita, MD
- Saidat Kashimawo-Akande, M.D.
- Kashmary Enterprises,Inn (Royal Cab & Transportation)
- Sona Shrikant Kashyap, MD
- Uma Rani Kasireddy, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.