Carolina's Therapy Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA'S THERAPY SOLUTIONS

Practice address

1009 Wickerby CT
Indian Trail, NC 28079-3738

Phone

(704) 608-0445

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jon Wayne Eccleston II, LCSWNPI 1306937750

Title

Owner

Phone

(704) 608-0445

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Wayne Eccleston II, LCSW

  • Clinical Social Worker
  • Indian Trail, NC
  • NPI 1306937750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1740463439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280790634",
            "telephone_number": "704-608-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 WICKERBY CT",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793738",
            "telephone_number": "704-608-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "ECCLESTON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-608-0445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Home-Care Agency LLC
• Carolina Care Solutions
• Carolina Care Solutions and Associates LLC (Ccsa)
• Carolina Medicorp Enterprises, LLC (Novant Health Express)
• Carolina's Regional Therapy Associates
• Carolinas Physicians Network Inc (Atrium Health Primary Care Indian Trail Family Medicine)
• Carolinas Physicians Network Inc (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Lake Park Family Medicine)
• Carolinas Physicians Network Inc (Indian Trail Pediatrics)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Dove Internal Medicine)

• Community/Behavioral Health Agency in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.