Active NPI
Tondra Crumpler McLaurin, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1285827964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4272
- Practice address
- 2500 E Independence Blvd
Counseling Suite
Charlotte, NC 28205-6951 - Phone
- (980) 253-6516
- NPI assigned
- Aug 24, 2007
- Last updated
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4272 | NC | Primary |
Addresses
Primary practice location
2500 E Independence Blvd
Counseling Suite
Charlotte, NC 28205-6951
Mailing address
PO Box 680443
Charlotte, NC 28216-0008
Phone (980) 253-6516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2024 through Jan 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4272 | NC | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1285827964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680443",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282160008",
"telephone_number": "980-253-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E INDEPENDENCE BLVD",
"address_2": "COUNSELING SUITE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056951",
"telephone_number": "980-253-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAURIN",
"first_name": "TONDRA",
"middle_name": "CRUMPLER",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4272",
"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 Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.