Active NPI
Christine Renee Macellaro
- Professional Counselor
- Huntersville, NC
National Provider Identifier
1053150383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A20048
- Practice address
- 16507 Northcross Dr Ste F
Huntersville, NC 28078-5082 - Phone
- (980) 999-4006
- Fax
- (980) 999-4058
- NPI assigned
- May 24, 2024
- Last updated
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A20048 | NC | |
| Mental Health Counselor | 101YM0800X | A20048 | NC | |
| Professional Counselor | 101YP2500X | A20048 | NC | Primary |
Addresses
Primary practice location
16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Mailing address
16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone (980) 999-4006
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
| License | State | Type | Specialty |
|---|---|---|---|
| A20048 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Huntersville, NC
- NPI 1568008266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1053150383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16507 NORTHCROSS DR STE F",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785082",
"telephone_number": "980-999-4006",
"fax_number": "980-999-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16507 NORTHCROSS DR STE F",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785082",
"telephone_number": "980-999-4006",
"fax_number": "980-999-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACELLARO",
"first_name": "CHRISTINE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A20048",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A20048",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A20048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.