Active NPI
Imani Parr, LCMHCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1104619105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A21142
- Practice address
- 2315 E WT Harris Blvd Ste 102
Charlotte, NC 28213-5133 - Phone
- (704) 208-4458
- Fax
- (866) 309-6385
- NPI assigned
- May 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A21142 | NC | Primary |
Addresses
Primary practice location
2315 E WT Harris Blvd Ste 102
Charlotte, NC 28213-5133
Mailing address
922 Copperstone LN
Fort Mill, SC 29708-6413
Phone (980) 833-0032
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 |
|---|---|---|---|
| A21142 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1104619105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 COPPERSTONE LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086413",
"telephone_number": "980-833-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E WT HARRIS BLVD STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282135133",
"telephone_number": "704-208-4458",
"fax_number": "866-309-6385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "IMANI",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A21142",
"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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.