Individual provider Active NPI

Casey Paul Baine, LCAS, LPCA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1881100345
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13442 Issued in NC
Practice address
6103 Kayton St
Raleigh, NC 27616-4329
Phone
(919) 880-4078
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23911 NC
Mental Health Counselor 101YM0800X 13442 NC Primary

Addresses

Primary practice location

6103 Kayton St
Raleigh, NC 27616-4329

Mailing address

6103 Kayton St
Raleigh, NC 27616-4329
Phone (919) 880-4078

Other practice location 1

1100 Logger Ct Ste H101
Raleigh, NC 27609-8513
Phone (919) 880-4078

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
23911NCMDAddiction (Substance Use Disorder) Counselor
13442NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Therapies, PLLC Addiction (Substance Use Disorder) CurrentSince Nov 1, 2019 Accepting new patients

Locations

4814 Six Forks Rd
Ste 202
Raleigh, NC 27609
Phone (919) 410-7858

6330 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 880-4078

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1881100345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 KAYTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164329",
            "telephone_number": "919-880-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 KAYTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164329",
            "telephone_number": "919-880-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Logger Ct Ste H101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276098513",
            "country_code": "US",
            "telephone_number": "919-880-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINE",
        "first_name": "CASEY",
        "middle_name": "PAUL",
        "credential": "LCAS, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23911",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.