Active NPI
Thomas R. Chicora, LCAS, LPC
- Addiction (Substance Use Disorder) Counselor
- Kannapolis, NC
National Provider Identifier
1982648408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 742
- Practice address
- 1305 S Cannon Blvd
Kannapolis, NC 28083-6232 - Phone
- (704) 939-1100
- Fax
- (704) 939-1120
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 742 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 6561 | NC |
Addresses
Primary practice location
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Mailing address
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Phone (704) 939-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111851 | 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 |
|---|---|---|---|
| 742 | NC | MD | Psychologist |
| 6561 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1982648408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICORA",
"first_name": "THOMAS",
"middle_name": "R.",
"credential": "LCAS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "742",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6561",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111851",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
- Dennis Clay Caudill, D.C.
- Centerwell Certified Healthcare Corp. (CenterWell Home Health)
- Central Carolina Dialysis Centers LLC (Dialysis Care of Kannapolis)
- Chapman Pharmacy
- Nathallie Lynnette Chavez, LCSWA
- Tonda Ellington Childers, MA; LPCA
- Donna Childress, MD
- Christian Hearing & Tinnitus of Kannapolis & Concord LLC
- Christian Women of Elegance Dba (Cannon Blvd Family Counseling Center)
- Ivette Dianelle Cintron-Cubero, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.