Active NPI
Christine Jones Tison, MA, LPCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1245768233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A12123 | NC | MD | Professional 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.