Active NPI
Vincent Costa, DR.
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1194113084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8321
- Practice address
- 2124 Crown Centre Dr Ste 400
Charlotte, NC 28227-7804 - Phone
- (704) 849-0144
- NPI assigned
- Dec 31, 2014
- Sex
- Male
- 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 | 8321 | NC | Primary |
Addresses
Primary practice location
2124 Crown Centre Dr Ste 400
Charlotte, NC 28227-7804
Mailing address
9212 Seamill Rd
Charlotte, NC 28278-8004
Phone (704) 779-2961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8321 | Other | NC | LICENSED PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| 8321 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1194113084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9212 SEAMILL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282788004",
"telephone_number": "704-779-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 CROWN CENTRE DR STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282277804",
"telephone_number": "704-849-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "8321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Graham Harvey Cosper, M.D.
- Abigail Cossaart
- Costa Counseling PLLC
- Alessandro Costa Da Silva, DDS
- Courtney Costa, LCSW
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Hearing Aid #359)
- Costco Wholesale Corporation (Costco Optical #359)
- Jose Perez Coste, MD
- Corinna M Costello, PHD, LPC, ATR-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.