Active NPI
Spring Guill Roland, LCMHC, LCAS-A
- Mental Health Counselor
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-27328 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 16130 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Health Services | Current | Accepting new patients | |
| Port Health Services | Current | Accepting new patients | |
| Better Self, PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Jacksonville, NC
- NPI 1376121103
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1174005789
-
- Community/Behavioral Health Agency
- Elizabeth City, NC
- NPI 1518195072
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.