Real Therapy PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REAL THERAPY PLLC

Practice address

964 Holly Rd
Black Mountain, NC 28711-9709

Phone

(828) 243-7988

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Bradley ShannonNPI 1639480312

Title

Owner

Phone

(828) 243-7988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kathleen Bradley Shannon, M.A.

  • Counselor
  • Black Mountain, NC
  • NPI 1639480312
  Authorized official Same address or phone

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1154168599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 HOLLY RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 HOLLY RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119709",
            "telephone_number": "828-243-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105A Charlotte Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288039673",
            "country_code": "US",
            "telephone_number": "828-243-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-243-7988"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Autumn Raines, LCMHCA
• Raleigh Durham Medical Group, PA (Family Care)
• Range Urgent Care, PLLC
• Ely Aina Rapoza, LMBT
• RDMG Associates PA (Family Care)
• Joann Crogan Rechtine
• Joshua David Reeves
• Regency Care of Black Mountain, LLC (Mountain Ridge Health & Rehab)
• Richard W. Wiedeman, DDS, PA
• Jessica Bhakti Ringle, LCMHC, LCAS

• Adult Mental Health Clinic/Center in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.