Individual provider Active NPI

Betty Finoh, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1750731790
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21077 Issued in NC
Practice address
4324 S Alston Ave Ste 113
Durham, NC 27713-2696
Phone
(919) 682-5777
NPI assigned
Jun 21, 2016
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 21077 NC Primary
Clinical Social Worker 1041C0700X P010403 NC

Addresses

Primary practice location

4324 S Alston Ave Ste 113
Durham, NC 27713-2696

Mailing address

4324 S Alston Ave Ste 113
Durham, NC 27713-2696
Phone (919) 682-5777

Other practice location 1

2510 Janet St
Durham, NC 27707-3021
Phone (919) 641-3712

Other identifiers 1

IdentifierTypeStateIssuer
56-1963988MedicaidNC

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

LicenseStateTypeSpecialty
P010403NCMDClinical Social Worker
21077NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Community Support Services, Inc. CurrentSince May 7, 2023 Accepting new patients
Carolina Community Support Services, Inc. CurrentSince May 7, 2023 Accepting new patients

Locations

4324 S Alston Ave
Ste 113
Durham, NC 27713
Phone (919) 682-5777

Organizations & group practices 2

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1750731790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 113",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132696",
            "telephone_number": "919-682-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 113",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132696",
            "telephone_number": "919-682-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Janet St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277073021",
            "country_code": "US",
            "telephone_number": "919-641-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINOH",
        "first_name": "BETTY",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21077",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56-1963988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.