Active NPI
Jump Counseling and Consulting, LLC
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1255944690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JUMP COUNSELING AND CONSULTING, LLC
- Practice address
- 301 McCullough Dr Ste 400
Charlotte, NC 28262-1336 - Phone
- (470) 296-3139
- NPI assigned
- Aug 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James C. McGoogan, MSPBH,MPC,LCASA,CADC
- Title
- Chief Executive Officer
- Phone
- (910) 224-3562
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Mailing address
2958 Deep Cove Dr NW
Concord, NC 28027-2522
Phone (910) 224-3562
Other names 1
- James and Akemi McGoogan
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1275025504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1255944690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2958 DEEP COVE DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280272522",
"telephone_number": "910-224-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCCULLOUGH DR STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621336",
"telephone_number": "470-296-3139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUMP COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-25",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "MCGOOGAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "910-224-3562",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSPBH,MPC,LCASA,CADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "James and Akemi McGoogan",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "James and Akemi McGoogan",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 6, 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.