| James Revels, | |
| 1340 H Patton Avenue, Asheville, NC 28806 | |
| (828) 252-4980 | |
| Not Available | 
| Full Name | James Revels | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 1340 H Patton Avenue, Asheville, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871655852 | NPI | - | NPPES | 
| 6102489 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2426 (North Carolina) | Primary | 
| Entity Name | October Road Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144375767 PECOS PAC ID: 3577611433 Enrollment ID: O20090501000491 | 
| Mailing Address | Practice Location Address | 
|---|---|
| James Revels, 839 Wilkesboro Blvd, Lenoir, NC 28645 Ph: () - | James Revels, 1340 H Patton Avenue, Asheville, NC 28806 Ph: (828) 252-4980 | 
| Ms. Kathryn Everett Shanks, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 346 Merrimon Ave Ste C, Asheville, NC 28801 Phone: 283-334-4488 | |
| Mrs. Emily Norton Roberts, LMCHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hendersonville Rd, Asheville, NC 28803 Phone: 828-398-3601 Fax: 828-333-5465 | |
| Sarah Hatch, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Crispin Ct, Suite D-203, Asheville, NC 28803 Phone: 828-250-3700 Fax: 828-250-3702 | |
| Raymond Robbin Ruff, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 College Pl, Ste B-100, Asheville, NC 28801 Phone: 828-254-5008 Fax: 828-254-5808 | |
| Deborah Fisher, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 356 Biltmore Ave Ste 200, Asheville, NC 28801 Phone: 828-254-2700 Fax: 828-254-1524 | |
| Jordan Kluesner Heffner, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Boston Way Ste B, Asheville, NC 28803 Phone: 828-761-1525 Fax: 828-330-9998 | |
| Holly Perkins Henry, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 Olivette Rd, Asheville, NC 28804 Phone: 404-357-5757 Fax: 828-544-1201 |