MS. CAITLIN LANE FAULK LCMHC, LCAS
NPI 1497191050
Counselor - Addiction (Substance Use Disorder) in Shallotte, NC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment

120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 14, 2022, Aug 24, 2016 (2 updates tracked since 2016).

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About Ms. Caitlin Lane Faulk Lcmhc, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAITLIN LANE FAULK LCMHC, LCAS (NPI 1497191050) is an individual addiction (substance use disorder) provider in Shallotte, North Carolina, licensed in North Carolina (21031) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497191050

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. CAITLIN LANE FAULKCredential: LCMHC, LCAS

Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094

Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145

Phone(910) 754-4515

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 21, 2013

Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1497191050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · 21031

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11205 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A11205 (NC), 11205 (NC)

120 COASTAL HORIZONS DR, Shallotte, NC 28470

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Other Names 1

Former Name (1)Caitlin Lane Garner

Secondary Practice Locations 2

Location 13208 Oleander DrWilmington, NC 28403-0800 · Phone (910) 352-1285

Location 2615 Shipyard BlvdWilmington, NC 28412-6431 · Phone (910) 343-0145 · Fax (910) 341-5779

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Caitlin Lane Faulk Lcmhc, Lcas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800330721

PECOS Enrollment IDI20240703000375

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.