Organization Active NPI

Hidden Well Therapy Solutions

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1194523779
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HIDDEN WELL THERAPY SOLUTIONS
Practice address
9719 E W T Harris Blvd
Charlotte, NC 28227-5957
Phone
(980) 224-2859
Fax
(704) 973-0575
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mrs. Ebony Nicole White, LCMHCNPI 1235699752
Title
Owner/Therapist
Phone
(980) 224-2859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9719 E W T Harris Blvd
Charlotte, NC 28227-5957

Mailing address

434 Leecrest Dr
Charlotte, NC 28214-2577
Phone (980) 430-9943

National Provider Directory

National Provider Directory

Locations

9719 E W T Harris Blvd
Charlotte, NC 28227
Phone (980) 224-2859

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1194523779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LEECREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142577",
            "telephone_number": "980-430-9943",
            "fax_number": "704-973-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282275957",
            "telephone_number": "980-224-2859",
            "fax_number": "704-973-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN WELL THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "980-224-2859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 7, 2025; 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.