Organization Active NPI

Theraputic Remedy

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1265861082
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPUTIC REMEDY
Practice address
5009 Beatties Ford Rd
Suite 107-371
Charlotte, NC 28216-2859
Phone
(704) 651-8097
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Derek Wilson
Title
Owner
Phone
(704) 651-8097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5009 Beatties Ford Rd
Suite 107-371
Charlotte, NC 28216-2859

Mailing address

5009 Beatties Ford Rd
Suite 107-371
Charlotte, NC 28216-2859

National Provider Directory

National Provider Directory
Tax ID family
Theraputic Remedy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5009 Beatties Ford Rd
Ste 107371
Charlotte, NC 28216
Phone (704) 651-8097

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1265861082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD",
            "address_2": "SUITE 107-371",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD",
            "address_2": "SUITE 107-371",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "704-651-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPUTIC REMEDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-651-8097"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 6, 2013; 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.