Active NPI
James A Mallinson Jr., MA
- Addiction (Substance Use Disorder) Counselor
- Salisbury, NC
National Provider Identifier
1700983053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS 13
- Practice address
- 322 E. Fisher St., Suite 105
Carolina Counseling Services
Salisbury, NC 28144 - Phone
- (704) 213-2770
- Fax
- (704) 637-5636
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- 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 13 | NC | Primary |
Addresses
Primary practice location
322 E. Fisher St., Suite 105
Carolina Counseling Services
Salisbury, NC 28144
Mailing address
322 E. Fisher St., Suite 105
Carolina Counseling Services
Salisbury, NC 28144
Phone (704) 213-2770
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS 13 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
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.
-
dba Carolina Counseling Services
- Counselor
- Salisbury, NC
- NPI 1801025010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700983053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E. FISHER ST., SUITE 105",
"address_2": "CAROLINA COUNSELING SERVICES",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-213-2770",
"fax_number": "704-637-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 E. FISHER ST., SUITE 105",
"address_2": "CAROLINA COUNSELING SERVICES",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-213-2770",
"fax_number": "704-637-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLINSON",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS 13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.