Individual provider Active NPI

Emily Chubb Ciepcielinski, PH.D., LPC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1265671846
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12668 Issued in NC
Practice address
6809 Fairview Rd Ste a
Charlotte, NC 28210-4195
Phone
(704) 365-7777
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65323 TX
Professional Counselor 101YP2500X 12668 NC Primary

Addresses

Primary practice location

6809 Fairview Rd Ste a
Charlotte, NC 28210-4195

Mailing address

6809 Fairview Rd Ste a
Charlotte, NC 28210-4195
Phone (704) 365-7777

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12668NCMDProfessional Counselor
65323TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brennan McKaye, PH.D., P.a. Past Accepting new patients
Ciepcielinski Counseling, PLLC Professional Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1265671846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104195",
            "telephone_number": "704-365-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104195",
            "telephone_number": "704-365-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIEPCIELINSKI",
        "first_name": "EMILY",
        "middle_name": "CHUBB",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65323",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12668",
            "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 Jan 26, 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.