Individual provider Active NPI

Courtney Truesdale, APRN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1144085416
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020479 Issued in NC
Practice address
5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119
Phone
(980) 518-2664
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28142A SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5020479 NC Primary

Addresses

Primary practice location

5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119

Mailing address

125 Whitby Dr
Mount Holly, NC 28120-2366

Other practice location 1

18117 W Catawba Ave
Cornelius, NC 28031-5641
Phone (704) 594-2337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240409003874 SC Practitioner - Nurse Practitioner 4880032804 Reassigns benefits to 2 organizations
I20240905001882 NC Practitioner - Nurse Practitioner 4880032804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

502 Cherry Rd
Rock Hill, SC 29732-3118
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28142ASCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Itrust Wellness Group Psychiatric/Mental Health CurrentSince Feb 20, 2024 Accepting new patients
Charleston Counseling Center PC CurrentSince Nov 5, 2024 Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health PastSince Feb 20, 2024 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

149 Commons Way
Greenville, SC 29611

121 Commons Way
Greenville, SC 29611

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

502 Cherry Rd
Rock Hill, SC 29732
Phone (839) 213-6425

502 Cherry Rd
Ste 201
Rock Hill, SC 29732
Phone (678) 763-5994

115 Southport Rd
Spartanburg, SC 29306

Interoperability endpoints

  • Direct secure messaging: lfiestancehealth.courtneytruesdale@149035.advancedmd-direct.com

Organizations & group practices 5

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1144085416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITBY DR",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "980-518-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18117 W Catawba Ave",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280315641",
            "country_code": "US",
            "telephone_number": "704-594-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "COURTNEY",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28142A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.