Ima E. Veal, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4966 Issued in NC

Practice address

6760 Poppy Hills Lane
#634
Charlotte, NC 28226-8549

Phone

(980) 229-9531

Fax

(866) 286-9964

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1215955257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 POPPY HILLS LANE",
            "address_2": "#634",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268549",
            "telephone_number": "980-229-9531",
            "fax_number": "866-286-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 POPPY HILLS LANE",
            "address_2": "#634",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268549",
            "telephone_number": "980-229-9531",
            "fax_number": "866-286-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "IMA",
        "middle_name": "E.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102789",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.