Active NPI
Craig Kendle Arey, LPC, LCAS, CCS
- Addiction (Substance Use Disorder) Counselor
- Mount Airy, NC
National Provider Identifier
1811041858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 150
- Practice address
- 351 Riverside Dr
Mount Airy, NC 27030-3850 - Phone
- (336) 786-7079
- Fax
- (336) 786-6312
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- 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 | 150 | NC | Primary |
Addresses
Primary practice location
351 Riverside Dr
Mount Airy, NC 27030-3850
Mailing address
1 Serenity LN
Meadows of Dan, VA 24120-4390
Phone (276) 952-6220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102536 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811041858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SERENITY LN",
"city": "MEADOWS OF DAN",
"state": "VA",
"postal_code": "241204390",
"telephone_number": "276-952-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 RIVERSIDE DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303850",
"telephone_number": "336-786-7079",
"fax_number": "336-786-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREY",
"first_name": "CRAIG",
"middle_name": "KENDLE",
"name_prefix": "Mr.",
"credential": "LPC, LCAS, CCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102536",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.