Individual provider Active NPI

Christine Cauwels, LCPC, LMHC, LCMHC

  • Mental Health Counselor
  • Hillsborough, NC
National Provider Identifier
1851762017
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15701 Issued in NC
Practice address
611 E Hatterleigh Ave
Hillsborough, NC 27278-6002
Phone
(563) 676-0816
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180006939 IL
Mental Health Counselor 101YM0800X 15701 NC Primary

Addresses

Primary practice location

611 E Hatterleigh Ave
Hillsborough, NC 27278-6002

Mailing address

611 E Hatterleigh Ave
Hillsborough, NC 27278-6002
Phone (563) 676-0816

Other practice location 1

2326 16th St
Moline, IL 61265-4824
Phone (309) 283-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002260 NC Practitioner - Mental Health Counselor 4284167750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom House Recovery Center IncGroup PAC ID 5193898229, 12 clinicians

Practice addresses (Care Compare)

355 S Madison Blvd
Suite C
Roxboro, NC 27573-5485
Phone (833) 800-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15701NCMDMental Health Counselor
180006939ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom House Recovery Center, Inc. CurrentSince Jul 9, 2024 Accepting new patients
Freedom House Recovery Center, Inc. Current Accepting new patients
Freedom House Recovery Center, Inc. CurrentSince Jul 9, 2024 Accepting new patients

Locations

104 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

118 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

355 S Madison Blvd
Ste C
Roxboro, NC 27573
Phone (336) 599-8366

Organizations & group practices 3

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1851762017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E HATTERLEIGH AVE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786002",
            "telephone_number": "563-676-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E HATTERLEIGH AVE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786002",
            "telephone_number": "563-676-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2326 16th St",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612654824",
            "country_code": "US",
            "telephone_number": "309-283-1225",
            "fax_number": "309-743-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUWELS",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LMHC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006939",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.