NPIMap

Organization Active NPI

Carolina's Creative Counseling, PA

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1114156163
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA'S CREATIVE COUNSELING, PA
Practice address
3126 Milton Rd Ste T231
Charlotte, NC 28215-3778
Phone
(704) 332-3634
Fax
(704) 332-1801
NPI assigned
Jul 13, 2009
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Cortney C Stewart
Title
Owner
Phone
(216) 438-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3126 Milton Rd Ste T231
Charlotte, NC 28215-3778

Mailing address

3126 Milton Rd Ste T231
Charlotte, NC 28215-3778
Phone (704) 332-3634

Other identifiers 1

IdentifierTypeStateIssuer
00104542MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624003822 NC Part B Supplier - Clinic/Group Practice 0941773675 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory
Tax ID family
Carolina's Creative Counseling PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3126 Milton Rd
Ste T231
Charlotte, NC 28215
Phone (704) 332-3634

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1114156163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE T231",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153778",
            "telephone_number": "704-332-3634",
            "fax_number": "704-332-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE T231",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153778",
            "telephone_number": "704-332-3634",
            "fax_number": "704-332-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S CREATIVE COUNSELING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-438-3349"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00104542",
            "state": "NC"
        }
    ],
    "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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.