Organization Active NPI

Counseling Insights, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1013051556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
060-461 Issued in NC
Legal business name
COUNSELING INSIGHTS, INC.
Practice address
4938 Central Ave Ste 3
Charlotte, NC 28205-6878
Phone
(704) 568-1122
Fax
(704) 568-5357
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dave Edwards, CSAC, ICADC
Title
Executive Director
Phone
(704) 568-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 060-461 NC Primary

Addresses

Primary practice location

4938 Central Ave Ste 3
Charlotte, NC 28205-6878

Mailing address

4938 Central Ave Ste 3
Charlotte, NC 28205-6878
Phone (704) 568-1122

Other identifiers 3

IdentifierTypeStateIssuer
6103106MedicaidNC
6005676MedicaidNC
6106077MedicaidNC

National Provider Directory

National Provider Directory

Locations

4938 Central Ave
Ste 3
Charlotte, NC 28205
Phone (704) 568-1122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013051556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 CENTRAL AVE STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056878",
            "telephone_number": "704-568-1122",
            "fax_number": "704-568-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 CENTRAL AVE STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056878",
            "telephone_number": "704-568-1122",
            "fax_number": "704-568-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING INSIGHTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-568-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSAC, ICADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "060-461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103106",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005676",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.