Individual provider Active NPI

Catherine McCormick

  • Marriage & Family Therapist
  • Hendersonville, NC
National Provider Identifier
1992467658
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12283A Issued in NC
Practice address
111 Turtle Dove LN
Hendersonville, NC 28792-3276
Phone
(252) 772-3996
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12283A NC Primary

Addresses

Primary practice location

111 Turtle Dove LN
Hendersonville, NC 28792-3276

Mailing address

111 Turtle Dove LN
Hendersonville, NC 28792-3276

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cmccormick@trailscarolina.com Trails Carolina LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604000340 CO Practitioner - Marriage and Family Therapist 4789126905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12283ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Apr 28, 2024 Accepting new patients
Family Care Center, LLC Marriage & Family Therapist CurrentSince Apr 28, 2024 Accepting new patients
Trails Carolina LLC Past Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

Interoperability endpoints

  • Direct secure messaging: cmccormick@trailscarolina.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1992467658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TURTLE DOVE LN",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TURTLE DOVE LN",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923276",
            "telephone_number": "252-772-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cmccormick@trailscarolina.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Trails Carolina LLC",
            "address_1": "500 Winding Gap Rd",
            "city": "Lake Toxaway",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287478786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.