Individual provider Active NPI

George Ann Strader, MS, CSW, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Gastonia, NC
National Provider Identifier
1689733859
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
89 Issued in NC
Practice address
1542 Union Rd Ste B
Gastonia, NC 28054-2207
Phone
(704) 854-9854
Fax
(704) 854-8916
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 89 NC Primary
Social Worker 104100000X A000083 NC

Addresses

Primary practice location

1542 Union Rd Ste B
Gastonia, NC 28054-2207

Mailing address

1542 Union Rd Ste B
Gastonia, NC 28054-2207
Phone (704) 854-9854

Other identifiers 4

IdentifierTypeStateIssuer
44887224OtherNCUNITED BEHAVIORAL HEALTH
5338714OtherNCAETNA
2007264OtherNCCIGNA BEHAVIORAL HLTH
1018FOtherNCBCBSNC PROVIDER NUMBER

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
Master of Science

State licenses

LicenseStateTypeSpecialty
89NCMDAddiction (Substance Use Disorder) Counselor
A000083NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1689733859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 UNION RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542207",
            "telephone_number": "704-854-9854",
            "fax_number": "704-854-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 UNION RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542207",
            "telephone_number": "704-854-9854",
            "fax_number": "704-854-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADER",
        "first_name": "GEORGE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, CSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "89",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "A000083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "44887224",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5338714",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HLTH",
            "identifier": "2007264",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER NUMBER",
            "identifier": "1018F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.