Individual provider Active NPI

Janaye Annise Simpson, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1023787934
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16653 Issued in NC
Practice address
2315 E WT Harris Blvd Ste 102
Charlotte, NC 28213-5133
Phone
(704) 208-4458
Fax
(866) 309-6385
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 16653 NC
Mental Health Counselor 101YM0800X 16653 NC
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 16653 NC Primary

Addresses

Primary practice location

2315 E WT Harris Blvd Ste 102
Charlotte, NC 28213-5133

Mailing address

407 Hemlock Avenue
Rock Hill, SC 29730-9021
Phone (803) 357-2863

Other practice location 1

16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone (803) 357-2863

Other practice location 2

1923 J N Pease Pl Ste 104
Charlotte, NC 28262-4534
Phone (704) 208-4458

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
16653NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huntersville Counseling Center, PLLC Counselor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1023787934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HEMLOCK AVENUE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297309021",
            "telephone_number": "803-357-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E WT HARRIS BLVD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135133",
            "telephone_number": "704-208-4458",
            "fax_number": "866-309-6385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16507 Northcross Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785082",
            "country_code": "US",
            "telephone_number": "803-357-2863",
            "fax_number": "980-999-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 J N Pease Pl Ste 104",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624534",
            "country_code": "US",
            "telephone_number": "704-208-4458",
            "fax_number": "866-309-6385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JANAYE",
        "middle_name": "ANNISE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "16653",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16653",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "16653",
            "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 Jun 14, 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.