Individual provider Active NPI

Rachel P Meena, LCMHC, LMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1013494004
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14069 Issued in NC
Practice address
3623 Latrobe Dr Ste 215
Charlotte, NC 28211-4885
Phone
(781) 317-4284
NPI assigned
Jul 23, 2018
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 14069 NC Primary
Professional Counselor 101YP2500X A14069 NC

Addresses

Primary practice location

3623 Latrobe Dr Ste 215
Charlotte, NC 28211-4885

Mailing address

3623 Latrobe Dr Ste 215
Charlotte, NC 28211-4885
Phone (781) 317-4284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A14069NCMDProfessional Counselor
14069NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel P. Meena, Lcmhc, PLLC Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

6809 Fairview Rd
Ste 12
Charlotte, NC 28210
Phone (781) 317-4284

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1013494004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114885",
            "telephone_number": "781-317-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114885",
            "telephone_number": "781-317-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEENA",
        "first_name": "RACHEL",
        "middle_name": "P",
        "credential": "LCMHC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14069",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14069",
            "primary": false
        }
    ],
    "identifiers": [],
    "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, 2024; 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.