Active NPI
Mariya Valeryevna Koval-Guffey, LCMHCA
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1164303285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21977
- Practice address
- 2300 E 7TH St Ste 201
Charlotte, NC 28204-3314 - Phone
- (704) 774-3058
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21977 | NC | Primary |
Addresses
Primary practice location
2300 E 7TH St Ste 201
Charlotte, NC 28204-3314
Mailing address
1310 Iris Dr Apt 1422
Charlotte, NC 28205-6098
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21977 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Counseling and Wellness, PLLC | Mental Health | Current | Accepting new patients |
Locations
2300 E 7th St
Ste 201
Charlotte, NC 28204
Phone (704) 774-3058
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1699416735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1164303285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 IRIS DR APT 1422",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E 7TH ST STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043314",
"telephone_number": "704-774-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAL-GUFFEY",
"first_name": "MARIYA",
"middle_name": "VALERYEVNA",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21977",
"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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.