Active NPI
Loredana Pampinella, PHD(C), LPC, LCAS-A
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1134553639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8952
- Practice address
- 5700 Executive Center Dr Ste 100
Charlotte, NC 28212-8833 - Phone
- (704) 408-8489
- Fax
- (855) 532-2779
- NPI assigned
- Sep 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8952 | NC | |
| Mental Health Counselor | 101YM0800X | 8952 | NC | Primary |
Addresses
Primary practice location
5700 Executive Center Dr Ste 100
Charlotte, NC 28212-8833
Mailing address
5700 Executive Center Drive
Suite 100
Charlotte, NC 28212-8820
Phone (704) 408-8489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00536787 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8952 | NC | MD | Physical Therapist |
| 5642 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P&G Clinical Services PLLC | Current | Accepting new patients |
Locations
8201 Arrowridge Blvd
Ste 148
Charlotte, NC 28273
Phone (704) 207-0995
5700 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 408-8489
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.
-
- Professional Counselor
- Charlotte, NC
- NPI 1871851113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1134553639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 EXECUTIVE CENTER DRIVE",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128820",
"telephone_number": "704-408-8489",
"fax_number": "855-532-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 EXECUTIVE CENTER DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128833",
"telephone_number": "704-408-8489",
"fax_number": "855-532-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMPINELLA",
"first_name": "LOREDANA",
"credential": "PHD(C), LPC, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "8952",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00536787",
"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 Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.