Jenny Lynne Caldwell, MA, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12096A Issued in NC

Practice address

3440 Toringdon Way Ste 205
Charlotte, NC 28277-3191

Phone

(704) 995-0342

NPI assigned

May 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Achieve Balance, PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1265934731
  Medicare reassignment NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1164912614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 TORINGDON WAY STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773191",
            "telephone_number": "704-995-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TORINGDON WAY STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773191",
            "telephone_number": "704-995-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JENNY",
        "middle_name": "LYNNE",
        "credential": "MA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12096A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Caldwell
• David Nathaniel Caldwell, PHARMD
• Dorene Katherine Caldwell, MSN, PMHNP-BC
• Frank Caldwell, LMT
• Georgia Caldwell, B.S. , CADC
• Khaalisha Idrina Caldwell, P-LCSW
• McKenzie Gabrielle Caldwell, MPH, RDN
• Melissa Kaye Caldwell, NP
• Richard Kent Caldwell, DDS
• Ryan Blaine Caldwell, M.D.

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.