Individual provider Active NPI

Rahmana Latisa Mott, NCCPSS

  • Contractor
  • Charlotte, NC
National Provider Identifier
1073490439
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone
(704) 766-9000
Fax
(704) 216-9000
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X NC
Community/Behavioral Health Agency 251S00000X NC
Non-emergency Medical Transport (VAN) 343900000X NC
Respite Care 385H00000X NC
Child Mental Illness Respite Care 385HR2055X NC
Contractor 171W00000X NC Primary

Addresses

Primary practice location

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Mailing address

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (704) 766-9000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Youth and Family Services Community/Behavioral Health Current Accepting new patients

Locations

2015 Ayrsley Town Blvd
Ste 202
Charlotte, NC 28273
Phone (704) 727-7008

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1073490439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-766-9000",
            "fax_number": "704-216-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-766-9000",
            "fax_number": "704-216-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "RAHMANA",
        "middle_name": "LATISA",
        "name_prefix": "Mrs.",
        "credential": "NCCPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "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 Aug 28, 2026; 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.