Individual provider Active NPI

Caroline Thomas - Gay

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1821537572
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
29792 Issued in NC
Practice address
4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654
Phone
(980) 819-6585
Fax
(980) 833-1426
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 29792 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 29792 NC Primary

Addresses

Primary practice location

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654

Mailing address

4724 Belle Plaine Dr
Charlotte, NC 28215-3412
Phone (347) 418-6049

Other names 1

  • Mrs. Caroline Thomas Former name

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

LicenseStateTypeSpecialty
29792NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atra Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince Jul 7, 2024 Accepting new patients
Professional Resources Enhancing Personal Success LLP Addiction (Substance Use Disorder) CurrentSince Jul 7, 2024 Accepting new patients

Locations

4921 Albemarle Rd
Ste 108
Charlotte, NC 28205
Phone (980) 413-6757

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1821537572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 BELLE PLAINE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153412",
            "telephone_number": "347-418-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 ALBEMARLE RD STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056654",
            "telephone_number": "980-819-6585",
            "fax_number": "980-833-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS - GAY",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "29792",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "THOMAS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 3, 2024; 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.