Individual provider Active NPI

Jennifer Kay Ratajczak, LPCA, NCC

  • Counselor
  • Charlotte, NC
National Provider Identifier
1194035022
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8146 Issued in NC
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

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8146NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.