Individual provider Active NPI

Elease Ruby Gaiter, MA, LPC, LCAS

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1922418755
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10648 Issued in NC
Practice address
8915 Legacy Park Dr
Apt. C
Charlotte, NC 28269-9618
Phone
(704) 641-5277
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 LCAS-20140 NC
Professional Counselor 101YP2500X 10648 NC Primary

Addresses

Primary practice location

8915 Legacy Park Dr
Apt. C
Charlotte, NC 28269-9618

Mailing address

8915 Legacy Park Dr
Apt. C
Charlotte, NC 28269-9618
Phone (704) 641-5277

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCAS-20140NCMDAddiction (Substance Use Disorder) Counselor
10648NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Management, LLC Addiction (Substance Use Disorder) PastSince Nov 24, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1922418755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 LEGACY PARK DR",
            "address_2": "APT. C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282699618",
            "telephone_number": "704-641-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 LEGACY PARK DR",
            "address_2": "APT. C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282699618",
            "telephone_number": "704-641-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITER",
        "first_name": "ELEASE",
        "middle_name": "RUBY",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20140",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.