Active NPI
Kenneth Joseph Enclade Jr., LCAS
- Addiction (Substance Use Disorder) Counselor
- Asheville, NC
National Provider Identifier
1699406371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-28226
- Practice address
- 77 Central Ave Ste a
Asheville, NC 28801-2452 - Phone
- (828) 778-2973
- Fax
- (765) 392-4263
- NPI assigned
- Jun 22, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28226 | NC | Primary |
Addresses
Primary practice location
77 Central Ave Ste a
Asheville, NC 28801-2452
Mailing address
2 Spring St
Candler, NC 28715-8304
Phone (504) 432-8877
Other practice location 1
2 Spring St
Candler, NC 28715-8304
Phone (504) 432-8877
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 |
|---|---|---|---|
| LCAS-28226 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1699406371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SPRING ST",
"city": "CANDLER",
"state": "NC",
"postal_code": "287158304",
"telephone_number": "504-432-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CENTRAL AVE STE A",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288012452",
"telephone_number": "828-778-2973",
"fax_number": "765-392-4263"
}
],
"practiceLocations": [
{
"address_1": "2 Spring St",
"address_purpose": "LOCATION",
"city": "Candler",
"state": "NC",
"postal_code": "287158304",
"country_code": "US",
"telephone_number": "504-432-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENCLADE",
"first_name": "KENNETH",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-28226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.