Aldi Gaines, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12388 Issued in NC

Practice address

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Phone

(704) 748-0735

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gaines Therapy PLLC

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1598362188
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1902352263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470164",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470164",
            "telephone_number": "704-672-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "704-748-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ALDI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-06-29",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6446",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin William Futtersak, PH.D.
• G. Abrams and R. Cohen XX, PC
• Gabbysco Home Care Agency, LLC
• Kalani Gaddy
• Gaines Therapy PLLC
• Kim Gajan, MS, CCC-SLP
• Prasannakumar Kanubhai Gajera
• Steven R Gamrat
• Ganglani Reafield PLLC
• Ganglani Waxhaw PLLC

• Mental Health Counselor in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.

Verify at the official NPI Registry.