NPIMap

Individual provider Active NPI

James C. McGoogan, MSPBH,MPC,LCASA,CADC

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1275025504
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone
(470) 296-3139
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X 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 practice location 1

1610 Vinebrook Ter NW
Kennesaw, GA 30144-2977
Phone (910) 224-3562

Other practice location 2

1504 Jake Alexander Blvd W
Salisbury, NC 28147-1213
Phone (704) 645-8539

Other names 1

  • Mrs. Akemi-Joi G. McGoogan Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jump Counseling and Consulting, LLC Addiction (Substance Use Disorder) CurrentSince Aug 30, 2020 Accepting new patients
4 Horsemen Rehabilitative Services Inc. PastSince Jun 7, 2020 Accepting new patients
Treatment Centers LLC Past Accepting new patients
Treatment Centers LLC PastSince Mar 11, 2025 Accepting new patients

Locations

301 McCullough Dr
Ste 400
Charlotte, NC 28262
Phone (877) 437-6276

Organizations & group practices 4

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1275025504",
    "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": [
        {
            "address_1": "1610 Vinebrook Ter NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301442977",
            "country_code": "US",
            "telephone_number": "910-224-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Jake Alexander Blvd W",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471213",
            "country_code": "US",
            "telephone_number": "704-645-8539",
            "fax_number": "704-645-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOOGAN",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "MSPBH,MPC,LCASA,CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKEMI-JOI",
            "last_name": "MCGOOGAN",
            "middle_name": "G.",
            "prefix": "MRS.",
            "credential": "MSPBH,MPC,LCASA,CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 22, 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.