B&G Counseling Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

B&G COUNSELING SERVICES PLLC

Practice address

11220 Elm LN Ste 200
Charlotte, NC 28277-0450

Phone

(201) 906-1025

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Heather TidwellNPI 1639504194

Title

Owner

Phone

(201) 906-1025

Specialties & licenses 1

Addresses

Practitioners 2

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

• Heather Tidwell, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1639504194
  NPD Authorized official
• Ginger Moore Cannon

  • Professional Counselor
  • Fort Mill, SC
  • NPI 1972390896
  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1164038782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ESTHER CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297085707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770450",
            "telephone_number": "201-906-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-906-1025"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B and L Lockhart, P.L.L.C
• B.E.a.C.O.N. Counseling and Collective, PLLC
• B.L. Cockerham III & Associates PLLC
• B.Well Physio and Wellness Continuum, LLC
• B.Y.E Inc
• B&V PCS - Charlotte
• B4L Health Services Inc
• Jennifer Baalaer
• Molly R Baatz, BCBA
• Shahab Babakoohi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.