Individual provider Active NPI

Christine Jones Tison, MA, LPCA

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1245768233
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12123 Issued in NC
Practice address
11535 Carmel Commons Blvd Ste 104
Charlotte, NC 28226-5314
Phone
(704) 941-6601
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X A12123 NC Primary

Addresses

Primary practice location

11535 Carmel Commons Blvd Ste 104
Charlotte, NC 28226-5314

Mailing address

1718 Reverdy Oaks Dr
Matthews, NC 28105-6846
Phone (704) 287-0586

Other names 1

  • Mrs. Christy Jones Tison Other name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
A12123NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1245768233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 REVERDY OAKS DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056846",
            "telephone_number": "704-287-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 CARMEL COMMONS BLVD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265314",
            "telephone_number": "704-941-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISON",
        "first_name": "CHRISTINE",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "TISON",
            "middle_name": "JONES",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other 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 2, 2017; 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.