Organization Active NPI

Karbona Group Practice PLLC

  • Professional Counselor
  • Indian Land, SC
National Provider Identifier
1154150837
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KARBONA GROUP PRACTICE PLLC
Practice address
3020 Fast LN Apt 302
Indian Land, SC 29707-8043
Phone
(919) 671-9406
NPI assigned
Jul 30, 2024
Organization subpart
Yes
Parent organization
KARBONA CONSULTING & PRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Rasha Mohamed, LCMHCNPI 1265878292
Title
Owner
Phone
(919) 671-9406

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3020 Fast LN Apt 302
Indian Land, SC 29707-8043

Mailing address

10850 Providence Rd # 1111
Charlotte, NC 28277-2684
Phone (919) 671-9406

Other names 1

  • Karbona Consulting & Practice LLC Former legal business name

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://www.psychologytoday.com/profile/1131360 Direct
CONNECT URL https://www.psychologytoday.com/profile/1131360 Direct
CONNECT URL https://www.psychologytoday.com/profile/1131360 Direct

National Provider Directory

National Provider Directory
Part of
Karbona Group Practice PLLC

Locations

10850 Providence Rd
Charlotte, NC 28277
Phone (248) 766-5786

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1154150837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 PROVIDENCE RD # 1111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772684",
            "telephone_number": "919-671-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 FAST LN APT 302",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297078043",
            "telephone_number": "919-671-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARBONA GROUP PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KARBONA CONSULTING & PRACTICE LLC",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "RASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-671-9406",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/profile/1131360",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "10850 Providence Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/profile/1131360",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "10850 Providence Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/profile/1131360",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "10850 Providence Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Karbona Consulting & Practice LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.