Active NPI
Tremayne J Butler, LCAS,LPC, CCSI
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1790426674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC016561
- Practice address
- 1525 Ladora Dr
Charlotte, NC 28262-6414 - Phone
- (954) 439-5449
- NPI assigned
- Apr 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25738 | NC | |
| Professional Counselor | 101YP2500X | PC016561 | PA | Primary |
Addresses
Primary practice location
1525 Ladora Dr
Charlotte, NC 28262-6414
Mailing address
100 Knollwood Dr
Easton, PA 18042-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25738 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| PC016561 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1790426674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KNOLLWOOD DR",
"city": "EASTON",
"state": "PA",
"postal_code": "180427116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LADORA DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626414",
"telephone_number": "954-439-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "TREMAYNE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCAS,LPC, CCSI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-25738",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC016561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.