✓ Licensed & Credentialed Counselor (101Y00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC (NPI #1518190396)

Counselor • NEWLAND, NC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1518190396
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
416 PINELOA STREET, NEWLAND, NC, 28657-8865
✓ 9-Digit EDI 837 ZIP+4 (28657-8865)
Practice Phone & Referral Fax
Fax: (828) 757-8643
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1518190396 (APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1518190396 (NPI-2 Organization / Facility)
Provider / Legal NameAPPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC
Plain-English SpecialtyLicensed & Credentialed Counselor
NUCC Code: 101Y00000X (Counselor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address416 PINELOA STREET, NEWLAND, NC, 28657-8865
Practice Telephone / FaxTel: (828) 757-5675 | Fax: (828) 757-8643
Administrative Mailing Address2780 MORGANTON BLVD SW, LENOIR, NC, 28645-8632
Enumeration & Last SyncEnumerated: 2009-08-27 | CMS Record Updated: 2009-08-27
Authorized OfficialDAWN BEHREND (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

416 PINELOA STREET, NEWLAND, NC, 28657-8865

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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
101Y00000X — Counselor
Plain English: Licensed & Credentialed Counselor
State: NC | License: 5148 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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