Active NPI
Artemus Flagg, PH. D.
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1245546282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8075
- Practice address
- 6612 E Harris Blvd Ste D
Charlotte, NC 28215-5135 - Phone
- (704) 567-8984
- Fax
- (704) 567-8954
- NPI assigned
- Aug 27, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8075 | NC | |
| Mental Health Counselor | 101YM0800X | 8075 | NC | |
| Professional Counselor | 101YP2500X | 8075 | NC | Primary |
Addresses
Primary practice location
6612 E Harris Blvd Ste D
Charlotte, NC 28215-5135
Mailing address
6612 E Harris Blvd Ste D
Charlotte, NC 28215-5135
Phone (704) 567-8985
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8075 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1245546282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 E HARRIS BLVD STE D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155135",
"telephone_number": "704-567-8985",
"fax_number": "704-567-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6612 E HARRIS BLVD STE D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155135",
"telephone_number": "704-567-8984",
"fax_number": "704-567-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAGG",
"first_name": "ARTEMUS",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "8075",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8075",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8075",
"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 Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.