Individual provider Active NPI

Temitayo Christine Ijaduola, MS, LCMHCA, NCC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1164357570
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A23111 Issued in NC
Practice address
2237 Park Rd
Charlotte, NC 28203-5922
Phone
(980) 999-0483
NPI assigned
Jun 16, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A23111 NC Primary

Addresses

Primary practice location

2237 Park Rd
Charlotte, NC 28203-5922

Mailing address

1921 New Garden Rd Apt D102
Greensboro, NC 27410-2195

Other practice location 1

1921 New Garden Rd Apt D102
Greensboro, NC 27410-2195
Phone (401) 282-0030

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": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1164357570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 NEW GARDEN RD APT D102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035922",
            "telephone_number": "980-999-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 New Garden Rd Apt D102",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102195",
            "country_code": "US",
            "telephone_number": "401-282-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IJADUOLA",
        "first_name": "TEMITAYO",
        "middle_name": "CHRISTINE",
        "credential": "MS, LCMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23111",
            "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 Jul 27, 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.