Active NPI
Jennifer Kay Ratajczak, LPCA, NCC
- Counselor
- Charlotte, NC
National Provider Identifier
1194035022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8146
- Practice address
- 2024 E Seventh St
Suite a
Charlotte, NC 28204-3336 - Phone
- (704) 837-1443
- NPI assigned
- Oct 13, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8146 | NC | Primary |
Addresses
Primary practice location
2024 E Seventh St
Suite a
Charlotte, NC 28204-3336
Mailing address
7928 Park Vista Cir
Charlotte, NC 28226-4660
Phone (513) 479-2629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8146 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted Therapy P.C. | Current | 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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1932874799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1194035022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7928 PARK VISTA CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282264660",
"telephone_number": "513-479-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 E SEVENTH ST",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043336",
"telephone_number": "704-837-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATAJCZAK",
"first_name": "JENNIFER",
"middle_name": "KAY",
"credential": "LPCA, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "8146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.