Active NPI
Carolyn Marie Tutwiler, MHDL, LCAS, CCS
- Addiction (Substance Use Disorder) Counselor
- Whiteville, NC
National Provider Identifier
1942367065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 422
- Practice address
- 603 Pecan LN
Allied Behavioral Management, Inc.
Whiteville, NC 28472-2949 - Phone
- (910) 640-2021
- Fax
- (910) 640-2022
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 422 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 273 | NC | |
| Mental Health Counselor | 101YM0800X | 422 | NC | |
| Professional Counselor | 101YP2500X | 273 | NC |
Addresses
Primary practice location
603 Pecan LN
Allied Behavioral Management, Inc.
Whiteville, NC 28472-2949
Mailing address
603 Pecan LN
Allied Behavioral Managment, Inc.
Whiteville, NC 28472-2949
Phone (910) 640-2021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6110501 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | NC | MD | Podiatrist |
| 273 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1942367065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 PECAN LN",
"address_2": "ALLIED BEHAVIORAL MANAGMENT, INC.",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722949",
"telephone_number": "910-640-2021",
"fax_number": "910-640-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 PECAN LN",
"address_2": "ALLIED BEHAVIORAL MANAGEMENT, INC.",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722949",
"telephone_number": "910-640-2021",
"fax_number": "910-640-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTWILER",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MHDL, LCAS, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "422",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "273",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "422",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "273",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6110501",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.