Kaleidoscope Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KALEIDOSCOPE COUNSELING

Practice address

904 E 8TH St
Charlotte, NC 28204-2390

Phone

(704) 680-6414

Fax

(704) 954-8681

NPI assigned

Sep 6, 2011

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nedra Glover Tawwab, LCSW

Title

Owner

Phone

(704) 680-6414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Burns, LPC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1376062554
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1013298082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E 8TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042390",
            "telephone_number": "704-680-6414",
            "fax_number": "704-954-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E 8TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042390",
            "telephone_number": "704-680-6414",
            "fax_number": "704-954-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "TAWWAB",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_middle_name": "GLOVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-680-6414",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyns Pharmacy Inc (Kaitlyns Pharmacy)
• Athanasios Panagiotis Kakouras, D.M.D.
• Dionysios S Kakouras, MSW, LCSW, LCAS
• Kritheeka Kalathil
• Kaleidoscope Advantage, LLC
• Molly Kaleskas
• Jennifer Ann Kalich, MD
• Katilynn Victoria Kalil, PA
• Marta Maria Kalinski, M.D.
• Timothy Devin Kallam, PA-C

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.