Eastern Trauma & Recovery Counseling Service

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

EASTERN TRAUMA & RECOVERY COUNSELING SERVICE

Practice address

11814 US 64a
Spring Hope, NC 27882-9637

Phone

(252) 903-5594

Fax

(252) 303-0616

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Horton Moss, LCAS-A; CCTP; CFTP

Title

Owner/Therapist

Phone

(252) 903-5594

Specialties & licenses 1

Addresses

Other names 1

• Eastern Trauma & Recovery Counseling Service Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Ann Moss, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Spring Hope, NC
  • NPI 1871078543
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1952900615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 US 64A",
            "city": "SPRING HOPE",
            "state": "NC",
            "postal_code": "278829637",
            "telephone_number": "252-903-5594",
            "fax_number": "252-303-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 US 64A",
            "city": "SPRING HOPE",
            "state": "NC",
            "postal_code": "278829637",
            "telephone_number": "252-903-5594",
            "fax_number": "252-303-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN TRAUMA & RECOVERY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "HORTON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "252-903-5594",
        "authorized_official_credential": "LCAS-A; CCTP; CFTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Trauma & Recovery Counseling Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline A. Delia, RD, LDN
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• E.W. Stone Adult Care Center
• Early Adolescent Interventions Services, Inc.
• Elie Abboud DDS PLLC
• H. Howard Weeks, DDS, PA
• Melissa Kay Langley
• Marshals Healthcare Services
• Marshals Healthcare Services

• Addiction (Substance Use Disorder) Counselor in Spring Hope, NC
• Providers in Spring Hope, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.