Individual provider Active NPI

Claudia Fernandes Correa, LMHC

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1104477785
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19274 Issued in NC
Practice address
11 Union St S Ste 200
Concord, NC 28025-5098
Phone
(704) 918-9741
Fax
(828) 270-6213
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60948877 WA
Mental Health Counselor 101YM0800X 19274 NC Primary

Addresses

Primary practice location

11 Union St S Ste 200
Concord, NC 28025-5098

Mailing address

10926 Quality Dr # 410711
Charlotte, NC 28278-8931
Phone (954) 422-3219

Other practice location 1

10926 Quality Dr # 410711
Charlotte, NC 28278-8931
Phone (954) 422-3219

Other practice location 2

16300 Mill Creek Blvd Ste 204
Mill Creek, WA 98012-1294
Phone (954) 422-3219

Other names 1

  • Claudia Fernandes Correa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000254 NC Practitioner - Mental Health Counselor 0446773105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60948877WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Family Counseling CurrentSince Jan 1, 2025 Accepting new patients

Locations

11 Union St S
Ste 200
Concord, NC 28025
Phone (704) 918-9315

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1104477785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 QUALITY DR # 410711",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788931",
            "telephone_number": "954-422-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255098",
            "telephone_number": "704-918-9741",
            "fax_number": "828-270-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10926 Quality Dr # 410711",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282788931",
            "country_code": "US",
            "telephone_number": "954-422-3219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16300 Mill Creek Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121294",
            "country_code": "US",
            "telephone_number": "954-422-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "CLAUDIA",
        "middle_name": "FERNANDES",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60948877",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA FERNANDES",
            "last_name": "CORREA",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.