Active NPI
Thomas David Adams, LCMHC, NCC
- Mental Health Counselor
- Arden, NC
National Provider Identifier
1801304571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12869
- Practice address
- 4 Long Shoals Rd Ste B408
Arden, NC 28704-5544 - Phone
- (919) 349-6238
- NPI assigned
- Jan 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12869 | NC | Primary |
Addresses
Primary practice location
4 Long Shoals Rd Ste B408
Arden, NC 28704-5544
Mailing address
4 Long Shoals Rd Ste B408
Arden, NC 28704-5544
Phone (919) 349-6238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12869 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1801304571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LONG SHOALS RD STE B408",
"city": "ARDEN",
"state": "NC",
"postal_code": "287045544",
"telephone_number": "919-349-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LONG SHOALS RD STE B408",
"city": "ARDEN",
"state": "NC",
"postal_code": "287045544",
"telephone_number": "919-349-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "THOMAS",
"middle_name": "DAVID",
"credential": "LCMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-16",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.