Individual provider Active NPI

Carlyn Wood, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1144782004
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13690 Issued in NC
Practice address
1935 J N Pease PL Ste 204
Charlotte, NC 28262-4542
Phone
(980) 272-8180
Fax
(844) 364-2563
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 A13690 NC
Mental Health Counselor 101YM0800X 13690 NC Primary

Addresses

Primary practice location

1935 J N Pease PL Ste 204
Charlotte, NC 28262-4542

Mailing address

1935 J N Pease PL Ste 204
Charlotte, NC 28262-4542
Phone (980) 292-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13690NCMDMental Health Counselor
A13690NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Saylor Counseling & Consulting Services, PLLC Mental Health CurrentSince Jul 23, 2023 Accepting new patients
New Hope Counseling and Wellness LLC PastSince Jun 5, 2020 Accepting new patients

Locations

1935 J N Pease Pl
Ste 204
Charlotte, NC 28262
Phone (704) 755-4392

Organizations & group practices 2

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1144782004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624542",
            "telephone_number": "980-292-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624542",
            "telephone_number": "980-272-8180",
            "fax_number": "844-364-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CARLYN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13690",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.