Active NPI
Rasheeda Conner, LCMHC-A
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1124751615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A17744
- Practice address
- 3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823 - Phone
- (704) 364-3989
- Fax
- (704) 364-3974
- NPI assigned
- Jul 3, 2022
- 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 | A17744 | NC | |
| Professional Counselor | 101YP2500X | A17744 | NC | Primary |
Addresses
Primary practice location
3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823
Mailing address
3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823
Phone (704) 364-3989
Other practice location 1
280 Executive Park Dr Ste 100
Concord, NC 28025-1838
Phone (704) 327-4240
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 |
|---|---|---|---|
| A17744 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Community Services, LLC | Professional | Past | Accepting new patients |
| Family First Community Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1891091641
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1780871293
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1124751615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 LATROBE DR STE 340",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114823",
"telephone_number": "704-364-3989",
"fax_number": "704-364-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 LATROBE DR STE 340",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114823",
"telephone_number": "704-364-3989",
"fax_number": "704-364-3974"
}
],
"practiceLocations": [
{
"address_1": "280 Executive Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280251838",
"country_code": "US",
"telephone_number": "704-327-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "RASHEEDA",
"name_prefix": "Ms.",
"credential": "LCMHC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-03",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17744",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A17744",
"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 Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.