Active NPI
Judy Lynn Overhultz, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1255591053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4146
- Practice address
- 6311 Burlwood Rd
Charlotte, NC 28211-5601 - Phone
- (704) 366-7894
- NPI assigned
- Jun 15, 2008
- 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 | 4146 | NC | Primary |
Addresses
Primary practice location
6311 Burlwood Rd
Charlotte, NC 28211-5601
Mailing address
6311 Burlwood Rd
Charlotte, NC 28211-5601
Phone (704) 366-7894
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213488000000",
"number": "1255591053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 BURLWOOD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115601",
"telephone_number": "704-366-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311 BURLWOOD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115601",
"telephone_number": "704-366-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERHULTZ",
"first_name": "JUDY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-15",
"last_updated": "2008-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4146",
"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 Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.