Active NPI
Aysia Graves Allen
- Mental Health Counselor
- Huntersville, NC
National Provider Identifier
1235450149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16507 Northcross Dr Ste a
Huntersville, NC 28078-5082 - Phone
- (704) 284-7330
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16507 Northcross Dr Ste a
Huntersville, NC 28078-5082
Mailing address
16507A Northcross Dr Ste 109
Huntersville, NC 28078-5081
Phone (704) 284-7330
Other practice location 1
845 church street north
concord, NC 28025
Phone (704) 262-1320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235450149 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Cedar Tree Empowerment Center LLC | Mental Health | Current | Accepting new patients |
| Cedar Tree Empowerment Center LLC | Clinical | Current | Accepting new patients |
Locations
16507 Northcross Dr
Ste 109
Huntersville, NC 28078
Phone (704) 284-7330
Interoperability endpoints
- aysiagraves@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1275168775
-
- Clinical Social Worker
- Huntersville, NC
- NPI 1831902907
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1235450149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16507A NORTHCROSS DR STE 109",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785081",
"telephone_number": "704-284-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16507 NORTHCROSS DR STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785082",
"telephone_number": "704-284-7330"
}
],
"practiceLocations": [
{
"address_1": "845 church street north",
"address_purpose": "LOCATION",
"city": "concord",
"state": "NC",
"postal_code": "28025",
"country_code": "US",
"telephone_number": "704-262-1320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "AYSIA",
"middle_name": "GRAVES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235450149",
"state": "NC"
}
],
"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 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.