AUTUMN COAN AUSTIN I (NPI# 1699751107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699751107 |
| Entity Type | Individual |
| Full Name | AUTUMN COAN AUSTIN I |
| Credential | MA, LPC, CSAC |
| Practice Address |
1135 Four Lakes Dr Suite A Matthews NC 28105-1721 |
| Mailing Address |
2030 Bonanza Rd Monroe NC 28110-8969 |
| Practice Telephone | 7046510668 |
| Practice Fax Number | 7048490883 |
| Mailing Telephone | 7042257550 |
| Mailing Fax Number | 7048490883 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1926 | NC | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
4817 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6102580 | 05 | |
| NC | 6102931 | 05 | |
| NC | BCBS | 1398G | 01 |
| NC | AETNA | 7167747 | 01 |
| NC | MEDCOST | 184537 | 01 |
| NC | PRIVATE HEALTH CARE SYST | 9388174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402716 | Autumn Austin | Behavior Technician | 1101 S Winchester Blvd Ste N260, San Jose, CA 95128-3901 | 2018-09-28 |
| Street Address |
1135 FOUR LAKES DR SUITE A |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518233006 | Firstlight Home Care of Charlotte | Home Health | 1135 Four Lakes Dr, Matthews, NC 28105-1727 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480860 | Mindspace Counseling, Pllc. | Counselor | 1118 Sam Newell Rd Ste D, Matthews, NC 28105-5041 | 2019-07-31 |
| 1871006973 | Andre Brooks | Counselor | 1708 Chambers Dr, Matthews, NC 28105-4982 | 2017-11-10 |
| 1467990275 | Megan Simon Kekich | Counselor | 1320 Matthews Mint Hill Rd, Matthews, NC 28105-4940 | 2017-02-01 |
| 1841544103 | James Melvile Roberts | Counselor | 2537 Cross Point Cir Apt 34, Matthews, NC 28105-8354 | 2012-11-07 |
| 1932427374 | Jessica Mabel Beyer | Counselor | 1136 Sam Newell Rd, Suite B-2, Matthews, NC 28105-5063 | 2010-05-10 |
| 1851565972 | Shirletta Ross Williamson | Counselor | 1146 Aringill Ln, Matthews, NC 28104-8043 | 2008-04-18 |
| 1154466811 | Women In Need of Greater Support | Counselor | 10132 Ashley Farm Dr, Matthews, NC 28105-4555 | 2007-02-20 |
| 1306210158 | Tamela Gilmore | Counselor | 1126 Sam Newell Rd, Matthews, NC 28105-5083 | 2015-11-17 |
| 1902194467 | Sophia Estrella-thomas | Counselor | 1122 Sam Newell Rd, Matthews, NC 28105-5015 | 2011-07-19 |
| 1245554617 | Bryan Franklin Armstrong | Counselor | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 | 2010-03-15 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.