NPIMap

Organization Active NPI

Atra Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1326533217
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ATRA COUNSELING SERVICES, PLLC
Practice address
4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654
Phone
(980) 819-6585
Fax
(980) 833-1426
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Cornelia PringleNPI 1992028914
Title
Owner
Phone
(980) 819-6585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 11567 NC
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 680 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 11567 NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654

Mailing address

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654
Phone (980) 819-6585

Other practice location 1

1327 East Main Street
Albemarle, NC 28001
Phone (704) 550-9175

Other practice location 2

10132 Ahley Farm Drive
Matthews, NC 28105
Phone (704) 499-2572

Other names 1

  • ATRA Counseling Services PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230228001607 NC Part B Supplier - Clinic/Group Practice 5496128191 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

1327 E Main St
Albemarle, NC 28001
Phone (704) 550-9175

4921 Albemarle Rd
Ste 108
Charlotte, NC 28205
Phone (980) 413-6757

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1326533217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 ALBEMARLE RD STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056654",
            "telephone_number": "980-819-6585",
            "fax_number": "980-833-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 ALBEMARLE RD STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056654",
            "telephone_number": "980-819-6585",
            "fax_number": "980-833-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "28001",
            "country_code": "US",
            "telephone_number": "704-550-9175",
            "fax_number": "980-550-9174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10132 Ahley Farm Drive",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-499-2572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATRA COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-819-6585"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "11567",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "680",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11567",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATRA Counseling Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ATRA Counseling Services PLLC",
            "code": "4",
            "type": "Former Legal Business 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 Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.