Organization Active NPI

Envisions Counseling, PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1063384659
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ENVISIONS COUNSELING, PLLC
Practice address
13022 Cameron Grove Loop Apt 107
Charlotte, NC 28262-2197
Phone
(704) 777-7940
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Tyniah James, LCMHC, LPCNPI 1528771235
Title
Clinical Director
Phone
(704) 777-7940

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 Primary

Addresses

Primary practice location

13022 Cameron Grove Loop Apt 107
Charlotte, NC 28262-2197

Mailing address

13022 Cameron Grove Loop Apt 107
Charlotte, NC 28262-2197
Phone (704) 777-7940

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1063384659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 CAMERON GROVE LOOP APT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622197",
            "telephone_number": "704-777-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13022 CAMERON GROVE LOOP APT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622197",
            "telephone_number": "704-777-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TYNIAH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-777-7940",
        "authorized_official_credential": "LCMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Sep 22, 2025; 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.