Active NPI
Self-Talk Counseling & Consulting, PLLC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1144724980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SELF-TALK COUNSELING & CONSULTING, PLLC
- Practice address
- 3126 Milton Rd Ste 234
Charlotte, NC 28215-3782 - Phone
- (980) 285-2689
- Fax
- (866) 313-6091
- NPI assigned
- Mar 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kareem C Puranda, LCMHCS, LCAS, NCC
- Title
- Owner
- Phone
- (980) 234-5464
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3126 Milton Rd Ste 234
Charlotte, NC 28215-3782
Mailing address
3126 Milton Rd Ste 234
Charlotte, NC 28215-3782
Phone (980) 285-3689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2925 E Independence Blvd
#205
Charlotte, NC 28205
3126 Milton Rd
Ste 234
Charlotte, NC 28215
Phone (980) 285-2689
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Charlotte, NC
- NPI 1598169724
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1629819701
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1871324350
-
- Mental Health Counselor
- Mint Hill, NC
- NPI 1225714405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725321600000",
"number": "1144724980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 MILTON RD STE 234",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153782",
"telephone_number": "980-285-3689",
"fax_number": "866-313-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 MILTON RD STE 234",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153782",
"telephone_number": "980-285-2689",
"fax_number": "866-313-6091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELF-TALK COUNSELING & CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-19",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "PURANDA",
"authorized_official_first_name": "KAREEM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-234-5464",
"authorized_official_credential": "LCMHCS, LCAS, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.