Individual provider Active NPI

Spring Guill Roland, LCMHC, LCAS-A

  • Mental Health Counselor
  • Elizabeth City, NC
National Provider Identifier
1891397071
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16130 Issued in NC
Practice address
102 Medical Dr Ste Ab
Elizabeth City, NC 27909-3361
Phone
(252) 335-0803
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27328 NC
Professional Counselor 101YP2500X NC
Mental Health Counselor 101YM0800X 16130 NC Primary

Addresses

Primary practice location

102 Medical Dr Ste Ab
Elizabeth City, NC 27909-3361

Mailing address

102 Medical Dr Ste Ab
Elizabeth City, NC 27909-3361
Phone (252) 335-0803

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address spring.roland@acswnc.com Direct
CONNECT URL np Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-27328NCMDAddiction (Substance Use Disorder) Counselor
16130NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Port Health Services CurrentSince Apr 1, 2024 Accepting new patients
Port Health Services CurrentSince Apr 1, 2024 Accepting new patients
Better Self, PLLC Mental Health CurrentSince Feb 17, 2024 Accepting new patients
Port Health Services Addiction (Substance Use Disorder) Current Accepting new patients

Locations

102 Medical Dr
Ste Ab
Elizabeth City, NC 27909
Phone (252) 335-0803

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

1144 Western Blvd
Jacksonville, NC 28546
Phone (571) 206-1121

Organizations & group practices 4

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1891397071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL DR STE AB",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL DR STE AB",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "SPRING",
        "middle_name": "GUILL",
        "credential": "LCMHC, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27328",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spring.roland@acswnc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "153 Gashes Creek Rd",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288052503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "np",
            "affiliation": "N",
            "endpointDescription": "no",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "no",
            "address_1": "153 Gashes Creek Rd",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288052503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.