Individual provider Active NPI

Joanna Kehinde Bogunjoko

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1154278273
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
2938 The PLZ
Charlotte, NC 28205-2463
Phone
(704) 291-9267
NPI assigned
Mar 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2938 The PLZ
Charlotte, NC 28205-2463

Mailing address

2816 Huckleberry Hill Dr
Fort Mill, SC 29715-8383
Phone (704) 291-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1154278273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 HUCKLEBERRY HILL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158383",
            "telephone_number": "704-291-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052463",
            "telephone_number": "704-291-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUNJOKO",
        "first_name": "JOANNA",
        "middle_name": "KEHINDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Mar 16, 2026; 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.