Individual provider Active NPI

Charlene Horgan, MED. LPCA NCC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1285167403
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A12844 Issued in NC
Practice address
10720 Carmel Commons Blvd
Suite 320
Charlotte, NC 28226-3785
Phone
(704) 904-6875
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 A12844 NC Primary

Addresses

Primary practice location

10720 Carmel Commons Blvd
Suite 320
Charlotte, NC 28226-3785

Mailing address

10720 Carmel Commons Blvd
Suite 320
Charlotte, NC 28226-3785

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
A12844NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1285167403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 CARMEL COMMONS BLVD",
            "address_2": "SUITE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 CARMEL COMMONS BLVD",
            "address_2": "SUITE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263785",
            "telephone_number": "704-904-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORGAN",
        "first_name": "CHARLENE",
        "credential": "MED. LPCA  NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12844",
            "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 Apr 5, 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.