Active NPI
Carmen Iris Mae Hinds, LPC
- Counselor
- Charlotte, NC
National Provider Identifier
1225269780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7151
- Practice address
- 3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179 - Phone
- (980) 302-8850
- Fax
- (704) 316-8118
- NPI assigned
- Aug 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7151 | NC | |
| Professional Counselor | 101YP2500X | 7151 | NC | |
| Counselor | 101Y00000X | 7151 | NC | Primary |
Addresses
Primary practice location
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
119 West Ave
Kannapolis, NC 28081-4332
Phone (704) 728-5955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104765 | Other | NC | NC HEALTH CHOICE |
| 6104765 | Medicaid | NC |
Other names 1
- Ms. Carmen Iris Mae Naylor
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 |
|---|---|---|---|
| 7151 | NC | MD | Pharmacist |
Interoperability endpoints
- chinds1126999@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1225269780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 WHITEHALL PARK DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734179",
"telephone_number": "980-302-8850",
"fax_number": "704-316-8118"
}
],
"practiceLocations": [
{
"address_1": "119 West Ave",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280814332",
"country_code": "US",
"telephone_number": "704-728-5955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINDS",
"first_name": "CARMEN",
"middle_name": "IRIS MAE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-01",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7151",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7151",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "7151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH CHOICE",
"identifier": "6104765",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104765",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "NAYLOR",
"middle_name": "IRIS MAE",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former 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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.