Leia Ann Charnin, PHD, LP, HSP-P

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

5170 Issued in NC

Practice address

6060 Piedmont Row Dr S Ste 120
Charlotte, NC 28287

Phone

(704) 552-0116

NPI assigned

Aug 17, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Leia Charnin, PLLC

  dba ChangeWell Psych

  • Psychologist
  • Charlotte, NC
  • NPI 1588352546
  NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1326528464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873884",
            "telephone_number": "704-552-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28287",
            "telephone_number": "704-552-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8820 University East Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282134220",
            "country_code": "US",
            "telephone_number": "704-578-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARNIN",
        "first_name": "LEIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, HSP-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte-Mecklenburg Schools
• Charlotte's Insight, Inc.
• Charlotte's Premiere Healthcare
• Kimberly Eileen Charlton, LCSWA
• Doreen Gail Charnin, LPC,NCC,CFT,MHDL
• Cody Wootten Chase, LMFTA
• Harrison Grady Chase, MD
• Ira Burton Chase, LCMHC
• Lauren Chase, MS
• Lauren Chase

• Counseling Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.