Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell Meyers, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235676743

Russell Meyers, LCAS-A is a Mental Health Counselor in Pine Knoll Shores, North Carolina. Qualified in 2016, 10 years ago. Practices with Easter Seals Ucp North Carolina and Virginia, Inc, a 47-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017

Practice location Address checks out

280 Salter Path Rd
Pine Knoll Shores, NC 28512-6120
Phone: (252) 240-0019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-20883 (NC)

Record details

NPI number1235676743
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedJanuary 22, 2017
Last updated in NPPESJanuary 22, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Easter Seals Ucp North Carolina And Virginia, Inc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pine Knoll Shores