Active NPI
Terrell Sutton
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
National Provider Identifier
1831739812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22500
- Practice address
- 309 Concord St Ste 201
Greensboro, NC 27406-3661 - Phone
- (336) 273-4687
- Fax
- (336) 333-2444
- NPI assigned
- Jan 8, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22500 | NC | Primary |
Addresses
Primary practice location
309 Concord St Ste 201
Greensboro, NC 27406-3661
Mailing address
6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 362-6759
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 |
|---|---|---|---|
| 22500 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1831739812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 THERMAL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115630",
"telephone_number": "704-362-6759",
"fax_number": "704-362-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 CONCORD ST STE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063661",
"telephone_number": "336-273-4687",
"fax_number": "336-333-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "TERRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.