NPIMap

Organization Active NPI

Cauthen Counseling and Consulting, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1144710229
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAUTHEN COUNSELING AND CONSULTING, PLLC
Practice address
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone
(704) 850-6479
Fax
(704) 603-3011
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Shana N. Cauthen, LCSWNPI 1326218512
Title
Owner
Phone
(704) 433-5267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C005932 NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001

Mailing address

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone (704) 433-5267

Other practice location 1

118 E Council St
Salisbury, NC 28144-5074
Phone (704) 850-6479

Other practice location 2

5200 Park Rd Ste 102C
Charlotte, NC 28209-3650
Phone (704) 433-5267

Other identifiers 1

IdentifierTypeStateIssuer
1326218512MedicaidNC

National Provider Directory

National Provider Directory

Locations

5200 Park Rd
Ste 102C
Charlotte, NC 28209
Phone (704) 433-5267

118 E Council St
Salisbury, NC 28144
Phone (704) 850-6479

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1144710229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626001",
            "telephone_number": "704-433-5267",
            "fax_number": "704-603-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626001",
            "telephone_number": "704-850-6479",
            "fax_number": "704-603-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 E Council St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281445074",
            "country_code": "US",
            "telephone_number": "704-850-6479",
            "fax_number": "704-603-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Park Rd Ste 102C",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093650",
            "country_code": "US",
            "telephone_number": "704-433-5267",
            "fax_number": "704-603-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAUTHEN COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "CAUTHEN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-433-5267",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005932",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326218512",
            "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 May 18, 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.