Organization Active NPI

Oasis Counseling Service

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1053837500
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C002751 Issued in NC
Legal business name
OASIS COUNSELING SERVICE
Practice address
3127 Eastway Dr Ste 108-109
Charlotte, NC 28205-5643
Phone
(704) 566-9437
Fax
(704) 566-9437
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lillie Marie Jacobs, LCSWNPI 1750332540
Title
Owner
Phone
(704) 566-9437

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C002751 NC Primary

Addresses

Primary practice location

3127 Eastway Dr Ste 108-109
Charlotte, NC 28205-5643

Mailing address

3127 Eastway Dr Ste 108-109
Charlotte, NC 28205-5643
Phone (704) 566-9437

National Provider Directory

National Provider Directory

Locations

3127 Eastway Dr
Ste 108109
Charlotte, NC 28205
Phone (704) 566-9437

Practitioners & affiliated clinicians

Practitioners 1

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": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053837500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 EASTWAY DR STE 108-109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "704-566-9437",
            "fax_number": "704-566-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 EASTWAY DR STE 108-109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "704-566-9437",
            "fax_number": "704-566-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-566-9437",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C002751",
            "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 Jul 21, 2022; 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.