Active NPI
Jenna Little, LPCA
- Professional Counselor
- Kannapolis, NC
National Provider Identifier
1174970438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12286
- Practice address
- 4797 Mooresville Rd
Kannapolis, NC 28081-9053 - Phone
- (704) 723-1628
- NPI assigned
- May 17, 2016
- Last updated
- May 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | A12286 | NC | Primary |
Addresses
Primary practice location
4797 Mooresville Rd
Kannapolis, NC 28081-9053
Mailing address
4797 Mooresville Rd
Kannapolis, NC 28081-9053
Phone (704) 723-1628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 16, 2024 through Apr 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12286 | NC | MD | Professional Counselor |
| 12286 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Counseling Associates | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Concord, NC
- NPI 1255930947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1174970438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4797 MOORESVILLE RD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280819053",
"telephone_number": "704-723-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4797 MOORESVILLE RD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280819053",
"telephone_number": "704-723-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JENNA",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
- Kara Kindley Lemon, L.C.S.W.
- Beverly J. Lessane, M.D.
- Robert Michael Levy, MD
- Jennifer Lindley, LPC-A
- James Floyd Litaker, DC
- Lively Therapy Services
- Livewell Inc (Cannon Pharmacy)
- Livewell Inc (Cannon Pharmacy Ebenezer Rd)
- Livewell Inc (Cannon Pharmacy)
- Livewell, Inc. Dba Cannon Pharmacy Compounding
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.