Organization Active NPI

Anew Vision Counseling Services PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1033706270
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANEW VISION COUNSELING SERVICES PLLC
Practice address
10801 Johnston Rd Ste 226
Charlotte, NC 28226-7856
Phone
(980) 299-1277
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Denise Doster, LCSWNPI 1003171216
Title
Owner/Therapist
Phone
(704) 965-0213

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10801 Johnston Rd Ste 226
Charlotte, NC 28226-7856

Mailing address

5505 Doverstone CT
Charlotte, NC 28208-2472
Phone (704) 965-0213

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest Direct

National Provider Directory

National Provider Directory

Locations

10801 Johnston Rd
Ste 226
Charlotte, NC 28226
Phone (980) 299-1277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1033706270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 DOVERSTONE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082472",
            "telephone_number": "704-965-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD STE 226",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267856",
            "telephone_number": "980-299-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW VISION COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "DOSTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-965-0213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10801 Johnston Rd Ste 226",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282267856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 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.