Organization Active NPI

Ultimate Care

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1235318767
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
454193 Issued in NC
Legal business name
ULTIMATE CARE
Practice address
4822 Albemarle Rd Ste 105
Charlotte, NC 28205-6612
Phone
(704) 780-4599
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Fostoria Pierson
Title
Ceo
Phone
(704) 780-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 454193 NC Primary

Addresses

Primary practice location

4822 Albemarle Rd Ste 105
Charlotte, NC 28205-6612

Mailing address

4822 Albemarle Rd Ste 105
Charlotte, NC 28205-6612
Phone (704) 780-4599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1235318767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056612",
            "telephone_number": "704-780-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056612",
            "telephone_number": "704-780-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "FOSTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-780-4599"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "454193",
            "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 Nov 1, 2007; 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.