Johanna L Georgoulakos

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

31376 Issued in NC

Practice address

2640 College Ave
Forest City, NC 28043-6120

Phone

(704) 307-0608

NPI assigned

Jan 21, 2026

Last updated

Jan 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Balance, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Forest City, NC
  • NPI 1013592955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1811856255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 COLLEGE AVE",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436120",
            "telephone_number": "704-307-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COLLEGE AVE",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436120",
            "telephone_number": "704-307-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGOULAKOS",
        "first_name": "JOHANNA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "31376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrionna Kayesha Gannon, DC
• Savanna Yount Gary, PA-C
• Gaston Family Health Services Inc (Kintegra at Chase Middle)
• Gaston Family Health Services, Inc (Kintegra at Chase High)
• Genoa Healthcare LLC
• George N. Girgis, RPH
• Kenneth Lawrence Glass, PT
• Harold Thomas Gleaves
• Glory Therapeutics & Consulting
• Angela Goodrich

• Addiction (Substance Use Disorder) Counselor in Forest City, NC
• Providers in Forest City, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.