Active NPI
Lydiaelisee Philogene
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1093475360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A23216
- Practice address
- 8505 Kenbrooke Dr Apt 1402
Charlotte, NC 28262-5633 - Phone
- (304) 894-5987
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A23216 | NC | Primary |
Addresses
Primary practice location
8505 Kenbrooke Dr Apt 1402
Charlotte, NC 28262-5633
Mailing address
7319 Matthews Mint Hill Rd
Mint Hill, NC 28227-7594
Phone (304) 894-5987
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1093475360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 MATTHEWS MINT HILL RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277594",
"telephone_number": "304-894-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 KENBROOKE DR APT 1402",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282625633",
"telephone_number": "304-894-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILOGENE",
"first_name": "LYDIAELISEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A23216",
"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 25, 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.