Active NPI
Dana Alexander, LCMHC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1073277786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16019
- Practice address
- 10130 Mallard Creek Rd Ste 204
Charlotte, NC 28262-6000 - Phone
- (704) 284-8411
- NPI assigned
- Oct 28, 2021
- Last updated
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A16019 | NC | |
| Mental Health Counselor | 101YM0800X | 16019 | NC | Primary |
Addresses
Primary practice location
10130 Mallard Creek Rd Ste 204
Charlotte, NC 28262-6000
Mailing address
10130 Mallard Creek Rd Ste 306
Charlotte, NC 28262-6001
Phone (980) 284-8411
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 |
|---|---|---|---|
| A16019 | NC | MD | Mental Health Counselor |
| 16019 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Protected Space Therapy, PLLC | Mental Health | Current | Accepting new patients |
Locations
10130 Mallard Creek Rd
Ste 306
Charlotte, NC 28262
Phone (980) 284-8411
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1063109528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1073277786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 306",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "980-284-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626000",
"telephone_number": "704-284-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DANA",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A16019",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16019",
"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 20, 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.