Active NPI
Megan Jade Agee
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1124663869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5799
- Practice address
- 5970 Fairview Rd Ste 420
Charlotte, NC 28210-3167 - Phone
- (980) 701-4190
- NPI assigned
- Nov 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 5799 | NC | Primary |
Addresses
Primary practice location
5970 Fairview Rd Ste 420
Charlotte, NC 28210-3167
Mailing address
4809 Shadow Moss CT
Charlotte, NC 28227-1245
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan@jadeintegrativewellness.com | Direct |
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 |
|---|---|---|---|
| 5799 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade Integrative Counseling and Wellness, PLLC | Mental Health | Current | Accepting new patients |
Locations
5970 Fairview Rd
Ste 420
Charlotte, NC 28210
Phone (980) 701-4190
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1245879022
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1124663869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 SHADOW MOSS CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282271245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD STE 420",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103167",
"telephone_number": "980-701-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGEE",
"first_name": "MEGAN",
"middle_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan@jadeintegrativewellness.com",
"affiliation": "N",
"endpointDescription": "Business/Practice Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5970 Fairview Rd Ste 420",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282103167",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.