Provider Directory



ATS OF NORTH CAROLINA, LLC DBA CAROLINA TREATMENT CENTER OF PINEHURST
SITE NAME: ASH STREET - GOLDSBORO
LOCATED IN WAYNE COUNTY

1700 E ASH ST
STE 201
GOLDSBORO, NC 27530 4097
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Contact Information
Primary: Amber Leclercq P: 919-583-9329 C: F: 919-583-9328 E: amber.sasser@ctcprograms.com
STR Contact: Amber Leclercq P: 919-583-9329 C: F: E: amber.sasser@ctcprograms.com
After Hours Number: 910-633-8411

COUNTIES SERVED : Bladen, Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Wayne, Wilson
CULTURES SERVED : Alaska Native, American Indian, Asian, Black/African American, Hispanic or Latino, Military, Muslim, Pacific Islander, White
DISABILITIES SERVED:  Adult Substance Abuse
HOURS OF OPERATION:  M-F: 5A-2P
SA: 5A-10A
SU: 5A-7A
LANGUAGES SERVED:  English
PAYORS ACCEPTED:  Medicaid, Self Pay, State Funded/Indigent
SPECIALTIES SERVED:  Substance Use Outpatient Treatment

List of Contracted Services:
90785 -Interactive Complexity, 90785CR:Medicaid&State, 90785GTCR: Medicaid, 90791 - Psychiatric Diagnostic Evaluation (No Medical Services), 90791CR:Medicaid&State, 90791GTCR:Medicaid, 90792 - Psychiatric Diagnostic Evaluation With Medical Services, 90792CR:Medicaid&State, 90792GTCR:Medicaid, 90832 - Psychotherapy - 30 Minutes, 90832CR:Medicaid&State, 90832GTCR:Medicaid, 90833 - Psychotherapy - 30 Minute Add on to E&M, 90833 - Psychotherapy - 30 Minute Add on to E&M, 90833CR:Medicaid&State, 90833GTCR:Medicaid, 90834 - Psychotherapy - 45 Minutes, 90834CR:Medicaid&State, 90834GTCR:Medicaid, 90836 - Psychotherapy - 45 Minute Add on to E&M, 90836 - Psychotherapy - 45 Minute Add on to E&M, 90836CR:Medicaid&State, 90836GTCR:Medicaid, 90837 - Psychotherapy - 60 Minutes, 90837CR:Medicaid&State, 90837GTCR:Medicaid, 90838 - Psychotherapy - 60 Minutes Addon to E&M, 90838CR:Medicaid&State, 90838GTCR:Medicaid, 90839 - Psychotherapy for Crisis First 60 Minutes , 90839CR:Medicaid&State, 90839GTCR:Medicaid, 90840 - Psychotherapy for Crisis each additional 30 minutes, 90840CR:Medicaid&State, 90840GTCR:Medicaid, 90845 - psychoanalysis, 90846 - Family Therapy w/o client, 90846CR:Medicaid&State, 90846GTCR:Medicaid, 90847 - Family Therapy with client, 90847CR:Medicaid&State, 90847GTCR:Medicaid, 90849 - Group Therapy (multi-family), 90849CR:Medicaid&State, 90849GTCR:Medicaid, 90853 - Group Therapy, 90853CR:Medicaid&State, 90853GTCR:Medicaid, 90865 - narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium, 90870 - special therapy, 96110 - Developmental Testing -Limited, 96110CR:Medicaid&State, 96100GTCR:Medicaid, 96112-Developmental Testing administrative (first hour), 96112CR:Medicaid&State, 96112GTCR:Medicaid, 96113-Developmental Testing ( each additional 30 minutes), 96113CR:Medicaid&State, 96113GTCR:Medicaid, 96116 - Neurobehavrioral status exam, 96116CR:Medicaid&State, 96116GTCR:Medicaid, 96121CR:Medicaid&State, 96121GTCR:Medicaid, 96130-Psychological Testing (First hour), 96130CR:Medicaid&State, 96130GTCR:Medicaid, 96131-Psychological Testing (each additional hour), 96131CR:Medicaid&State, 96131GTCR:Medicaid, 96132CR:Medicaid&State, 96132GTCR:Medicaid, 96133CR:Medicaid&State, 96133GTCR:Medicaid, 96136 Psychological or neuropsychological test admin and scoring by Phys. First 30 minutes, 96136CR:Medicaid&State, 96136GTCR:Medicaid, 96137 Psychological or neuropsychological test admin and scoring by Phys addition. 30 mins, 96137CR:Medicaid&State, 96137GTCR:Medicaid, 96138 Psychological or neuropsychological test admin and scoring by tech First 30 minutes, 96138CR:Medicaid&State, 96138GTCR:Medicaid, 96139 Psychological or neuropsychological test admin and scoring by tech additional 30 minutes, 96139CR:Medicaid&State, 96139GTCR:Medicaid, 96146CR:Medicaid&State, 96146GTCR:Medicaid, 96372 - Description needs to say (Therapeutic, Prophylactic or Diagnostic Injection), 96375 - therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (list separately in addition to code for primary service), 97151CR:Medicaid&State, 97151GTCR:Medicaid, 97152CR:Medicaid&State, 97152GTCR:Medicaid, 97153CR:Medicaid&State, 97153GTCR:Medicaid, 97154CR:Medicaid&State, 97154GTCR:Medicaid, 97155CR:Medicaid&State, 97155GTCR:Medicaid, 97156CR:Medicaid&State, 97156GTCR:Medicaid, 97157CR:Medicaid&State, 97157GTCR:Medicaid, 98966CR:Telephone Assessment and Mgmt by qual non-physician 5-10 minutes, 98967CR:Telephone Assessment and Mgmt by qual non-physician 11-20 minutes, 98968CR:Telephone Assessment and Mgmt by qual non-physician 21-30 minutes, 99202 - E & M Expanded, New Patient, 99202CR:Medicaid&State, 99202GTCR:Medicaid, 99203 - E & M Detailed, New Patient, 99203CR:Medicaid&State, 99203GTCR:Medicaid, 99204 - E & M Moderate, New Patient, 99204CR:Medicaid&State, 99204GTCR:Medicaid, 99205 - E & M High, New Patient, 99205CR:Medicaid&State, 99205GTCR:Medicaid, 99211 - E&M Minimum, Estab Patient, 99211CR:Medicaid&State, 99211GTCR:Medicaid, 99212 - E & M Expanded, Estab Patient, 99212CR:Medicaid&State, 99212GTCR:Medicaid, 99213 - E & M Detailed, Estab Patient, 99213CR:Medicaid&State, 99213GTCR:Medicaid, 99214 - E & M Moderate, Estab Patient, 99214CR:Medicaid&State, 99214GTCR:Medicaid, 99215 - E & M High Estab Patient, 99215CR:Medicaid&State, 99215GTCR:MedIcaid, 99217 - observation care discharge day management, 99218 - initial observation, per day, low complexity, 99219 - initial observation care, per day, moderate complexity, 99220 - initial observation care, per day, high complexity, 99221 - Initial Hospital Care 30 Min, 99222 - Initial Hosp. Care, mod. Phys time approx 50 min, 99223 - Initial Hosp. Care, sev. Phys time approx 70 min, 99230CR:Medicaid&State, 99230GTCR:Medicaid, 99230GTCR:State, 99231 - Hosp. visit, stable, phys time approx 15 min, 99231GTCR:Medicaid, 99232 - Hosp. visit, mod., phys time approx 25 min, 99232GTCR:Medicaid, 99233 - Hosp. visit, complex, phys time approx 35 min, 99233GTCR:Medicaid, 99234 - Observation/Inpat Low, 99235 - Observation of inpatient hospt. Care mid level, 99236 - Observation of inpatient hospt. Care high level, 99238GTCR:Medicaid, 99239 - Hospital DC day management more than 30 min, 99239 - Hospital DC day management more than 30 min, 99239GTCR:Medicaid, 99241 - outpt. consult, minor- phys time approx 15 min., 99241CR:Medicaid&State, 99241GTCR:Medicaid, 99242 - outpt. consult, moderate- phys time approx 30 min., 99242CR:Medicaid&State, 99242GTCR:Medicaid, 99243 - outpt. consult, severe- phys time approx 40 min., 99243CR:Medicaid&State, 99243GTCR:Medicaid, 99244 - outpt. consult, severe- phys time approx 60 min., 99244CR:Medicaid&State, 99244GTCR:Medicaid, 99245 - outpt. consult, severe- phys time approx 80 min., 99245CR:Medicaid&State, 99245GTCR:Medicaid, 99251 - initial inpt consult- phys time approx 20 min., 99251CR:Medicaid&State, 99251GTCR:Medicaid, 99252 - initial inpt consult- phys time approx 40 min., 99252CR:Medicaid&State, 99252GTCR:Medicaid, 99253 - initial inpt consult- phys time approx 55 min., 99253CR:Medicaid&State, 99253GTCR:Medicaid, 99254 - initial inpt consult- phys time approx 80 min., 99254CR:Medicaid&State, 99254GTCR:Medicaid, 99255 - initial inpt consult- phys time approx 110 min., 99255CR:Medicaid&State, 99255GTCR:Medicaid, 99281 - er visit, minor, 99282 - er visit, low severity, 99282 - er visit, low severity, 99283 - er visit, moderate severity, 99284 - er visit, high severity, 99285 - emergency department visit for the evaluation and management of a patient,, 99304 - initial nursing facility care, per day, for the evaluation and management of, 99305 - initial nursing facility care, per day, for the evaluation and management of, 99306 - initial nursing facility care, per day, for the evaluation and management of a , 99307 - subsequent nursing facility care, per day, for the evaluation and management of , 99308 - subsequent nursing facility care, per day, for the evaluation and management of , 99309 - subsequent nursing facility care, per day, for the evaluation and management of , 99310 - subsequent nursing facility care, per day, for the evaluation and management of , 99315 - nursing facility discharge day management; 30 minutes or less, 99316 - nursing facility discharge day management; 30 minutes or less more than 30, 99318 - evaluation and management of a patient involving an annual nursing facility , 99324 - domiciliary or rest home visit for the evaluation and management of a new , 99325 - domiciliary or rest home visit for the evaluation and management of a new , 99326 - domiciliary or rest home visit for the evaluation and management of a new , 99327 - domiciliary or rest home visit for the evaluation and management of a new , 99328 - domiciliary or rest home visit for the evaluation and management of a new , 99334 - domiciliary or rest home visit for the evaluation and management of an , 99335 - domiciliary or rest home visit for the evaluation and management of an , 99336 - domiciliary or rest home visit for the evaluation and management of an , 99337 - domiciliary or rest home visit for the evaluation and management of an , 99341 - home visit for the evaluation and management of a new patient, which requires, 99342 - home visit for the evaluation and management of a new patient, which requires, 99343 - home visit for the evaluation and management of a new patient, which requires, 99344 - home visit for the evaluation and management of a new patient, which requires, 99345 - home visit for the evaluation and management of a new patient, which requires, 99347 - home visit for the evaluation and management of an established patient, which, 99348 - home visit for the evaluation and management of an established patient, which, 99349 - home visit for the evaluation and management of an established patient, which, 99350 - home visit for the evaluation and management of an established patient, which, 99354 - prolonged physician service in the office or other outpatient setting requiring, 99355 - prolonged physician service in the office or other outpatient setting requiring, 99356 - prolonged physician service in the inpatient setting, requiring direct, 99357 - prolonged physician service in the inpatient setting, requiring direct, 99417: E & M Prolonged Office Services, 99421CR Online digital E&M Est Pat 5-10 min, 99422CR Online digital E&M Est Patient 11-20 min, 99423CR:Online digital E&M est pat 21 or more min, 99441CR:Telephone E&M 5 to 10 minutes, 99442CR:Telephone E&M 11 to 20 minutes, 99443CR:Telephone E&M 11 to 20 minutes, 99446CR Interprof telephonic/internet assessment 5 to 10 min, 99447CR Interprof telephonic/internet assessment 11-20 min, 99448CR Interprof telephonic/internet assessment 21-30 min, 99449CR Interprof telephonic/internet assessment 31 or more min, H0020 - Opioid Maintenance Therapy OMT, H0020CR:Opioid Mtnc Therapy Crisis, T1023 - Diagnostic Assessment , T1023CR:Medicaid and State, T1023GTCR:Medicaid and State