NPIMap

Organization Active NPI

Comfort Counseling Cafe' Corporation

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1073229423
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMFORT COUNSELING CAFE' CORPORATION
Practice address
1226 Bexton St Apt 205
Charlotte, NC 28273-5076
Phone
(704) 629-8885
NPI assigned
Jan 30, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Raheem Forsythe, LCSW.LCASANPI 1235741265
Title
President
Phone
(704) 629-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1226 Bexton St Apt 205
Charlotte, NC 28273-5076

Mailing address

1226 Bexton St Apt 205
Charlotte, NC 28273-5076
Phone (704) 629-8885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1073229423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BEXTON ST APT 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735076",
            "telephone_number": "704-629-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BEXTON ST APT 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735076",
            "telephone_number": "704-629-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT COUNSELING CAFE' CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "RAHEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-629-8885",
        "authorized_official_credential": "LCSW.LCASA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Feb 2, 2023; 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.