Individual provider Active NPI

Charlotte Bryant-Pardini, LCMHCA

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1255916938
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16176 Issued in NC
Practice address
304 Martin Luther King Jr Dr
Greensboro, NC 27406-1621
Phone
(919) 260-3640
NPI assigned
Mar 14, 2021
Last updated
Mar 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16176 NC Primary

Addresses

Primary practice location

304 Martin Luther King Jr Dr
Greensboro, NC 27406-1621

Mailing address

304 Martin Luther King Jr Dr
Greensboro, NC 27406-1621
Phone (919) 260-3640

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

State licenses

LicenseStateTypeSpecialty
A16176NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Counseling Mental Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1255916938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MARTIN LUTHER KING JR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061621",
            "telephone_number": "919-260-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MARTIN LUTHER KING JR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061621",
            "telephone_number": "919-260-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT-PARDINI",
        "first_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.