Organization Active NPI

Dimensions of Wellness LLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1154905271
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIMENSIONS OF WELLNESS LLC
Practice address
2800 Zebulon Ave Ste 204
Charlotte, NC 28208
Phone
(980) 254-1755
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Desi K McKoy, LCMHCANPI 1477047991
Title
Therapist
Phone
(980) 254-1755

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2800 Zebulon Ave Ste 204
Charlotte, NC 28208

Mailing address

2800 Zebulon Ave Ste 204
Charlotte, NC 28208
Phone (980) 254-1755

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmckoycounseling@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819001760 NC Part B Supplier - Clinic/Group Practice 3971002791 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC; Dunn, NC

National Provider Directory

National Provider Directory

Locations

2800 Zebulon Ave
Ste 204
Charlotte, NC 28208
Phone (980) 254-1755

535 Yellowstone Dr
Ste 204
Charlotte, NC 28208
Phone (704) 619-0732

1101 W Cumberland St
Dunn, NC 28334
Phone (980) 254-1755

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1154905271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ZEBULON AVE STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "980-254-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ZEBULON AVE STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "980-254-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS OF WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "DESI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "980-254-1755",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmckoycounseling@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2800 Zebulon Ave STE 204",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 6, 2021; 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.

Verify at the official NPI Registry.