Individual provider Active NPI

Thelma Elizabeth Burgess, MSW, LCSW, LCAS-A, C

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1710149729
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006072 Issued in NC
Practice address
One Oak Plaza
Suite 208
Asheville, NC 28801
Phone
(828) 575-9760
Fax
(828) 210-1404
NPI assigned
Jun 30, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 LCAS23202 NC
Clinical Social Worker 1041C0700X C006072 NC Primary

Addresses

Primary practice location

One Oak Plaza
Suite 208
Asheville, NC 28801

Mailing address

601 Olde Covington Way
Arden, NC 28704-9336
Phone (828) 702-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212000155 NC Practitioner - Clinical Social Worker 7214271667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Counseling and Psychological Services IncGroup PAC ID 4880996792, 27 clinicians

Practice addresses (Care Compare)

1 Oak PLZ
Suite 208
Asheville, NC 28801-3000
Phone (828) 575-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS23202NCMDAddiction (Substance Use Disorder) Counselor
C006072NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc CurrentSince Nov 8, 2018 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Appalachian Counseling and Psychological Services Clinical CurrentSince Dec 16, 2020 Accepting new patients
Rha Health Services, Inc CurrentSince Nov 8, 2018 Accepting new patients
Appalachian Counseling and Psychological Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

1 Oak Plz
Ste 208
Asheville, NC 28801
Phone (828) 575-9760

37 College Pl
Asheville, NC 28801
Phone (828) 575-9760

600A Centrepark Dr
Asheville, NC 28805
Phone (828) 575-9760

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1405A S Glenburnie Rd
New Bern, NC 28562
Phone (252) 638-7875

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1710149729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLDE COVINGTON WAY",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049336",
            "telephone_number": "828-702-6772",
            "fax_number": "828-210-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE OAK PLAZA",
            "address_2": "SUITE 208",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-575-9760",
            "fax_number": "828-210-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "THELMA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS-A, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS23202",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.