Active NPI
Russell Floyd Cole, LCAS
- Addiction (Substance Use Disorder) Counselor
- Archdale, NC
National Provider Identifier
1992066823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3
- Practice address
- 500 Robin LN
Archdale, NC 27263-3326 - Phone
- (336) 784-9470
- Fax
- (336) 784-9505
- NPI assigned
- Jun 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3 | NC | Primary |
Addresses
Primary practice location
500 Robin LN
Archdale, NC 27263-3326
Mailing address
500 Robin LN
Archdale, NC 27263-3326
Phone (336) 784-9470
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 |
|---|---|---|---|
| 3 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1992066823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ROBIN LN",
"city": "ARCHDALE",
"state": "NC",
"postal_code": "272633326",
"telephone_number": "336-784-9470",
"fax_number": "336-784-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ROBIN LN",
"city": "ARCHDALE",
"state": "NC",
"postal_code": "272633326",
"telephone_number": "336-784-9470",
"fax_number": "336-784-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "RUSSELL",
"middle_name": "FLOYD",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Archdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.