Individual provider Active NPI

Alexander Yang, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Taylorsville, NC
National Provider Identifier
1851927024
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
30667 Issued in NC
Practice address
31 E Main Ave
Taylorsville, NC 28681-2540
Phone
(704) 872-0234
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 A21219 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 30667 NC Primary

Addresses

Primary practice location

31 E Main Ave
Taylorsville, NC 28681-2540

Mailing address

2962 Jack Whitener Rd
Newton, NC 28658-9374
Phone (919) 407-9257

Other practice location 1

536 Signal Hill Dr Ext
Statesville, NC 28625-4391
Phone (704) 872-0234

Other practice location 2

612 Signal Hill Drive Ext
Statesville, NC 28625-4353
Phone (704) 872-0234

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
30667NCMDAddiction (Substance Use Disorder) Counselor
A21219NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Recovery Medical Services Addiction (Substance Use Disorder) Past Accepting new patients
Shah Anuj MD PC Past Accepting new patients

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1851927024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 JACK WHITENER RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589374",
            "telephone_number": "919-407-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812540",
            "telephone_number": "704-872-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Signal Hill Dr Ext",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286254391",
            "country_code": "US",
            "telephone_number": "704-872-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Signal Hill Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286254353",
            "country_code": "US",
            "telephone_number": "704-872-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ALEXANDER",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21219",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "30667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.