Individual provider Active NPI

Phuong Minh Flint, MA, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1134598790
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11756 Issued in NC
Practice address
9019 Holland Park LN
Charlotte, NC 28277-2725
Phone
(704) 412-8491
Fax
(704) 885-2207
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11756 NC
Mental Health Counselor 101YM0800X 11756 NC Primary

Addresses

Primary practice location

9019 Holland Park LN
Charlotte, NC 28277-2725

Mailing address

9716 Rea Rd Ste B1310
Charlotte, NC 28277-6789
Phone (704) 412-8491

Other practice location 1

3626 Latrobe Dr
Suite 102
Charlotte, NC 28211-1388
Phone (704) 362-6700

Other names 1

  • Miss Phuong Minh Bui Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A11756NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Counseling, PLLC CurrentSince Apr 9, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1134598790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 REA RD STE B1310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776789",
            "telephone_number": "704-412-8491",
            "fax_number": "704-885-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 HOLLAND PARK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772725",
            "telephone_number": "704-412-8491",
            "fax_number": "704-885-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3626 Latrobe Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111388",
            "country_code": "US",
            "telephone_number": "704-362-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINT",
        "first_name": "PHUONG",
        "middle_name": "MINH",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11756",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "BUI",
            "middle_name": "MINH",
            "prefix": "MISS",
            "credential": "MA, NCC, LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.