Individual provider Active NPI

Katherine Tadlock

  • Addiction (Substance Use Disorder) Counselor
  • Hickory, NC
National Provider Identifier
1952952830
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-25722 Issued in NC
Practice address
929 15TH St NE Ste 100
Hickory, NC 28601-4162
Phone
(828) 327-6026
Fax
(828) 327-8796
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25722 NC Primary

Addresses

Primary practice location

929 15TH St NE Ste 100
Hickory, NC 28601-4162

Mailing address

4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 327-6026

Other practice location 1

301 E Meeting St Ste 102
Morganton, NC 28655-3598
Phone (828) 391-5026

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-25722NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Wilson & Associates Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Clay, Wilson & Associates Current Accepting new patients

Locations

4330 Viola Sipe Dr
Conover, NC 28613
Phone (828) 256-3436

929 15th St NE
Ste 100
Hickory, NC 28601
Phone (828) 256-3436

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1952952830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 VIOLA SIPE DR",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138839",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE STE 100",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014162",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Meeting St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553598",
            "country_code": "US",
            "telephone_number": "828-391-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADLOCK",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.