NPIMap

Organization Active NPI

Agape Creative Ministries, Inc. Dba Agape Christian Counseling

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1194113159
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8321 Issued in NC
Legal business name
AGAPE CREATIVE MINISTRIES, INC. DBA AGAPE CHRISTIAN COUNSELING
Practice address
2124 Crown Centre Dr Ste 400
Charlotte, NC 28227-7804
Phone
(704) 849-0144
Fax
(704) 845-1611
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Annabel S Noonan, LPC-S
Title
Executive Director/Therapist
Phone
(704) 849-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 8321 NC Primary

Addresses

Primary practice location

2124 Crown Centre Dr Ste 400
Charlotte, NC 28227-7804

Mailing address

2124 Crown Centre Dr Ste 400
Charlotte, NC 28227-7804
Phone (704) 849-0144

Other identifiers 1

IdentifierTypeStateIssuer
8321OtherNCSTATE LPC LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Agape Christian Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1194113159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CROWN CENTRE DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277804",
            "telephone_number": "704-849-0144",
            "fax_number": "704-845-1611"
        },
        {
            "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",
            "fax_number": "704-845-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CREATIVE MINISTRIES, INC. DBA AGAPE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "ANNABEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "704-849-0144",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LPC LICENSE NUMBER",
            "identifier": "8321",
            "state": "NC"
        }
    ],
    "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 Dec 29, 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.

Verify at the official NPI Registry.