Individual provider Active NPI

Justina Marie Floyd, NCC, LCMHC

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1205446556
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15979 Issued in NC
Practice address
9541 Julian Clark Ave Ste 109E
Huntersville, NC 28078-3485
Phone
(704) 206-9810
NPI assigned
Aug 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15979 NC Primary

Addresses

Primary practice location

9541 Julian Clark Ave Ste 109E
Huntersville, NC 28078-3485

Mailing address

9541 Julian Clark Ave Ste 202
Huntersville, NC 28078-3486
Phone (704) 206-9810

Other practice location 1

10224 Hickorywood Hill Ave Ste 204
Huntersville, NC 28078-3474
Phone (704) 765-1615

Other practice location 2

18145 W Catawba Ave
Cornelius, NC 28031-5641
Phone (704) 206-9810

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
15979NCMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Integrative Therapy PLLC Mental Health Current Accepting new patients

Locations

18151 W Catawba Ave
Cornelius, NC 28031
Phone (704) 495-4435

9541 Julian Clark Ave
Ste 109E
Huntersville, NC 28078
Phone (704) 206-9810

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1205446556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 JULIAN CLARK AVE STE 202",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783486",
            "telephone_number": "704-206-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JULIAN CLARK AVE STE 109E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783485",
            "telephone_number": "704-206-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10224 Hickorywood Hill Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783474",
            "country_code": "US",
            "telephone_number": "704-765-1615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18145 W Catawba Ave",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280315641",
            "country_code": "US",
            "telephone_number": "704-206-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JUSTINA",
        "middle_name": "MARIE",
        "credential": "NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.