Active NPI
Kate Louise Bastida, LCAS, LMFT
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1801243829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22314
- Practice address
- 100 Billingsley Rd
Charlotte, NC 28211-1002 - Phone
- (704) 376-7447
- NPI assigned
- May 19, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11046A | NC | |
| Marriage & Family Therapist | 106H00000X | 2030 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22314 | NC | Primary |
Addresses
Primary practice location
100 Billingsley Rd
Charlotte, NC 28211-1002
Mailing address
100 Billingsley Rd
Charlotte, NC 28211-1002
Phone (704) 376-7447
Other practice location 1
521 Clanton Rd
Charlotte, NC 28217-1369
Phone (704) 332-9001 ext. 2326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbastida756712@direct.novanthealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2030 | NC | MD | Counselor |
| 11046A | NC | MD | Marriage & Family Therapist |
| 22314 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anuvia Prevention and Recovery Center, Inc | Past | Accepting new patients | |
| McLeod Centers for Wellbeing | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1154706307
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1447438106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1801243829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111002",
"telephone_number": "704-376-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111002",
"telephone_number": "704-376-7447"
}
],
"practiceLocations": [
{
"address_1": "521 Clanton Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282171369",
"country_code": "US",
"telephone_number": "704-332-9001 x2326",
"fax_number": "704-295-4937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTIDA",
"first_name": "KATE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LCAS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "11046A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "2030",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22314",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbastida756712@direct.novanthealth.org",
"affiliation": "N",
"address_1": "521 Clanton Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282171369",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.