Jeremy Wayne Saunders, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17582 Issued in NC

Practice address

1935 J N Pease PL Ste 202
Charlotte, NC 28262-4542

Phone

(704) 334-3170

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Well Therapy PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1235389248
  NPD
• Be Well Therapy PLLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
  • NPI 1801769849
  NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1174260160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 NEVILLE ABBEY DR APT 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620176",
            "telephone_number": "910-633-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624542",
            "telephone_number": "704-334-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "JEREMY",
        "middle_name": "WAYNE",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saunders Group LLC
• Brianna Russell Saunders, PA
• Calvin Charles Saunders, DC
• Jennifer Elaine Saunders, NP
• Jennifer Nicole Saunders, MSW, LCSW
• Jerry Allen Saunders, MD
• Kyla Saunders
• Madelyn Brooke Saunders, LCSWA
• Melissa L Saunders, LCSW
• Timothy Gray Saunders, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.