Active NPI
Lee Aaron Sousa
- Professional Counselor
- Gastonia, NC
National Provider Identifier
1891168902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11926
- Practice address
- 708 S Chestnut St
Gastonia, NC 28054-4548 - Phone
- (704) 865-3525
- NPI assigned
- Nov 11, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11926 | NC | Primary |
Addresses
Primary practice location
708 S Chestnut St
Gastonia, NC 28054-4548
Mailing address
702 S Lee St
Gastonia, NC 28052-4016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 19, 2025 through Aug 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11926 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1891168902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 S LEE ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S CHESTNUT ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544548",
"telephone_number": "704-865-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "LEE",
"middle_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.