Organization Active NPI

Charidi Jamison Counseling PLLC

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1184459810
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHARIDI JAMISON COUNSELING PLLC
Practice address
106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594
Phone
(704) 467-4308
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Charidi JamisonNPI 1336751874
Title
Owner
Phone
(704) 467-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594

Mailing address

106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594
Phone (704) 467-4308

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1184459810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LANGTREE VILLAGE DR STE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-467-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANGTREE VILLAGE DR STE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-467-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIDI JAMISON COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "CHARIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-467-4308"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.