Jacob Averill is a Wilmington, North Carolina based counselor with 6 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacob Averill is C014123 for Social Worker in North Carolina. His current practice location is 615 Shipyard Blvd, Wilmington. Patients can book an appointment with him at 910-343-0145.
Jacob Averill is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jacob Averill speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jacob Averill
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
LCSW, LCAS, CCS
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
615 Shipyard Blvd, Wilmington, North Carolina, 28412-6431
Phone:
910-343-0145
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8820483233
Enrollment ID:
I20220322002379
NPI Number:
1659930618
NPI Enumeration Date:
12 Jun, 2019
NPI Last Update On:
02 Jun, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Averill are as mentioned below.
License Number
Specialization
State
Status
C014123
Social Worker
North Carolina
Primary
25590
Addiction (Substance Use Disorder) Counselor
North Carolina
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jacob Averill is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Coastal Horizons Center, Inc. (9739267964)
33
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
615 Shipyard Blvd, Wilmington, North Carolina
Zip:
28412-6431
Phone Number:
910-343-0145
Patients can reach Jacob Averill at 615 Shipyard Blvd, Wilmington, North Carolina or can call to book an appointment on 910-343-0145. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.