NPIMap

Organization Active NPI

Carolina's Creative Counseling

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1215237516
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-060-1269 Issued in NC
Legal business name
CAROLINA'S CREATIVE COUNSELING
Practice address
4415 Monroe Road, Suite 100
Charlotte, NC 28205
Phone
(704) 332-3634
Fax
(704) 332-1801
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Cathleen R Harris, LCSWNPI 1144319021
Title
Owner & Ceo
Phone
(704) 332-3634

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHL-060-1269 NC Primary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X MHL-060-1269 NC
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X MHL-060-1269 NC
Substance Abuse Rehabilitation Facility 324500000X MHL-060-1269 NC

Addresses

Primary practice location

4415 Monroe Road, Suite 100
Charlotte, NC 28205

Mailing address

4415 Monroe Road, Suite 100
Charlotte, NC 28205
Phone (704) 332-3634

Other names 1

  • Carolina's Creative Counseling, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Carolina's Creative Counseling PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4415 Monroe Rd
Ste 100
Charlotte, NC 28205
Phone (704) 332-3634

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1215237516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 MONROE ROAD, SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-332-3634",
            "fax_number": "704-332-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 MONROE ROAD, SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-332-3634",
            "fax_number": "704-332-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S CREATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "704-332-3634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-060-1269",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NC",
            "license": "MHL-060-1269",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-060-1269",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-060-1269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina's Creative Counseling, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 11, 2018; 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.