Individual provider Active NPI

Charles Hampton Hinkle, M.A., L.P.C.

  • Mental Health Counselor
  • Waxhaw, NC
National Provider Identifier
1174654594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6472 Issued in NC
Practice address
116 South Providence Street
Waxhaw, NC 28173
Phone
(704) 843-4818
Fax
(704) 843-5111
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6472 NC Primary

Addresses

Primary practice location

116 South Providence Street
Waxhaw, NC 28173

Mailing address

5727 Murrayhill Rd
Charlotte, NC 28210-2416
Phone (704) 525-4139

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240226001430 NC Practitioner - Mental Health Counselor 2961847389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QC Wellness Collective PLLCGroup PAC ID 7012448947, 6 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 135
Charlotte, NC 28210-3269
Phone (704) 285-0241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6472NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness Collective, PLLC CurrentSince Nov 1, 2024 Accepting new patients
El Rophe Center, Inc Past Accepting new patients

Locations

8832 Blakeney Professional Dr
Ste 300
Charlotte, NC 28277
Phone (980) 446-3567

6115 Park South Dr
Ste 135
Charlotte, NC 28210
Phone (704) 285-0241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174654594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 MURRAYHILL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102416",
            "telephone_number": "704-525-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SOUTH PROVIDENCE STREET",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-843-4818",
            "fax_number": "704-843-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "CHARLES",
        "middle_name": "HAMPTON",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.