Individual provider Active NPI

Loula Karras Kontoulas, MA, LMFT

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1104188895
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1552 Issued in NC
Practice address
4914 Monroe Rd
Charlotte, NC 28205-7822
Phone
(704) 275-1105
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1552 NC Primary

Addresses

Primary practice location

4914 Monroe Rd
Charlotte, NC 28205-7822

Mailing address

5913 Colchester PL
Charlotte, NC 28210-5403
Phone (704) 622-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 31, 2024 through May 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1104188895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 COLCHESTER PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105403",
            "telephone_number": "704-622-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057822",
            "telephone_number": "704-275-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTOULAS",
        "first_name": "LOULA",
        "middle_name": "KARRAS",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.