Mettia Ann Adams, LCAS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI 1831633858 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1831633858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 5820 E WT Harris Blvd
Charlotte, NC 28215-3541 - Phone
- (704) 251-7705
- NPI assigned
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-22651 | NC | MD | Contractor |
| 22651 | NC | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22651 | NC | |
| Contractor | 171W00000X | LCAS-22651 | NC | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
5820 E WT Harris Blvd
Charlotte, NC 28215-3541
Mailing address
8345 South Highway 18
Boomer, NC 28606
Phone (336) 469-1963
Other practice location 1
8345 South highway 18
Boomer, NC 28606
Phone (336) 469-1963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831633858 | Medicaid | NC |
Other providers in Charlotte, NC
- Julie Marie Adams
- Lisa Lenere Adams
- Logan Dale Adams
- Madeleine Adams
- Makayla Adams
- Michaela Adams
- Monica Lenette Adams
- Morghen Shontae'L Adams
- Peggy Adams
- Remi M'Lynn Adams
All providers in Charlotte, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.