Active NPI
Susanna Lewis, LCAS, LPCA
- Addiction (Substance Use Disorder) Counselor
- Gastonia, NC
National Provider Identifier
1750682134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1688
- Practice address
- 708 S Chestnut St
Gastonia, NC 28054-4548 - Phone
- (252) 531-7822
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 1688 | NC | Primary |
Addresses
Primary practice location
708 S Chestnut St
Gastonia, NC 28054-4548
Mailing address
703 Rollerton Rd
Apt.106
Charlotte, NC 28205-1057
Phone (252) 531-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1750682134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 ROLLERTON RD",
"address_2": "APT.106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051057",
"telephone_number": "252-531-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S CHESTNUT ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544548",
"telephone_number": "252-531-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SUSANNA",
"name_prefix": "Ms.",
"credential": "LCAS, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"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 Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.