Individual provider Active NPI

Leia Ann Charnin, PHD, LP, HSP-P

  • Counseling Psychologist
  • Charlotte, NC
National Provider Identifier
1326528464
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
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
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5170 NC Primary

Addresses

Primary practice location

6060 Piedmont Row Dr S Ste 120
Charlotte, NC 28287

Mailing address

6060 Piedmont Row Dr S
Charlotte, NC 28287-3884
Phone (704) 552-0116

Other practice location 1

8820 University East Dr Ste A
Charlotte, NC 28213-4220
Phone (704) 578-0585

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5170NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leia Charnin, PLLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

3743 Latrobe Dr
Charlotte, NC 28211
Phone (704) 578-0585

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 and National Provider Directory roles.

NPI Registry JSON

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": []
}

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 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.