Active NPI
Carolyn Mitchell Miales, LPCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1194255687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12553
- Practice address
- 1945 J N Pease PL Ste 104
Charlotte, NC 28262-4555 - Phone
- (704) 548-5299
- Fax
- (704) 548-5292
- NPI assigned
- Jun 15, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12553 | NC | Primary |
Addresses
Primary practice location
1945 J N Pease PL Ste 104
Charlotte, NC 28262-4555
Mailing address
1300 Matthews Mint Hill Rd
Matthews, NC 28105-2306
Phone (704) 548-5299
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 |
|---|---|---|---|
| A12553 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lifeskills Counseling & Consulting Group | Past | 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.
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1174067417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1194255687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MATTHEWS MINT HILL RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052306",
"telephone_number": "704-548-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 J N PEASE PL STE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624555",
"telephone_number": "704-548-5299",
"fax_number": "704-548-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIALES",
"first_name": "CAROLYN",
"middle_name": "MITCHELL",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12553",
"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 Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.