Active NPI
Natasha Delicia Pemberton-Todd, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1174642482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5225
- Practice address
- 145 Scaleybark Rd Ste C
Charlotte, NC 28209-2682 - Phone
- (704) 567-8690
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5225 | NC | Primary |
Addresses
Primary practice location
145 Scaleybark Rd Ste C
Charlotte, NC 28209-2682
Mailing address
145 Scaleybark Rd Ste C
Charlotte, NC 28209-2682
Phone (704) 567-8690
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513X | Other | NC | BLUE CROSS BLUE SHIELD |
| 188286 | Other | NC | MEDCOST |
| 6103215 | Medicaid | NC |
Other names 1
- Ms. Natasha Delicia Pemberton
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conflict Coaching & Consulting, PLLC | Past | Accepting new patients |
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.
-
- Counselor
- Charlotte, NC
- NPI 1215352760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1174642482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SCALEYBARK RD STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092682",
"telephone_number": "704-567-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SCALEYBARK RD STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092682",
"telephone_number": "704-567-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON-TODD",
"first_name": "NATASHA",
"middle_name": "DELICIA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1513X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "188286",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103215",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "PEMBERTON",
"middle_name": "DELICIA",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.