Organization Active NPI

Carolinas Mental Health, PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1023628427
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAROLINAS MENTAL HEALTH, PLLC
Practice address
6827 Fairview Rd Ste a
Charlotte, NC 28210-3344
Phone
(803) 810-1156
NPI assigned
Jul 31, 2020
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Selin Tastan, PHDNPI 1578868907
Title
Lcmhc
Phone
(803) 810-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

6827 Fairview Rd Ste a
Charlotte, NC 28210-3344

Mailing address

6827 Fairview Rd Ste a
Charlotte, NC 28210-3344
Phone (803) 810-1156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1023628427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103344",
            "telephone_number": "803-810-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103344",
            "telephone_number": "803-810-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "TASTAN",
        "authorized_official_first_name": "SELIN",
        "authorized_official_title_or_position": "LCMHC",
        "authorized_official_telephone_number": "803-810-1156",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 25, 2021; 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.