Organization Active NPI

Asheville Counseling and Psychotherapy Center PC

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1972082444
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010676 Issued in NC
Legal business name
ASHEVILLE COUNSELING AND PSYCHOTHERAPY CENTER PC
Practice address
390 Merrimon Avenue
Asheville, NC 28801
Phone
(828) 545-4562
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Mr. Peter Millis, LCSWNPI 1376959114
Title
Auth Official
Phone
(828) 545-4562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C010676 NC Primary

Addresses

Primary practice location

390 Merrimon Avenue
Asheville, NC 28801

Mailing address

27 Patriots Drive
Asheville, NC 28805
Phone (828) 545-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181030003084 NC Part B Supplier - Clinic/Group Practice 2062765530 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory
Tax ID family
Asheville Counseling and Psychotherapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

390 Merrimon Ave
Asheville, NC 28801
Phone (828) 337-4124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1972082444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PATRIOTS DRIVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28805",
            "telephone_number": "828-545-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MERRIMON AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-545-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEVILLE COUNSELING AND PSYCHOTHERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "MILLIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTH OFFICIAL",
        "authorized_official_telephone_number": "828-545-4562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.