Modern Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MODERN COUNSELING PLLC

Practice address

#1097 8322 Pineville Matthews Road Ste 602
Charlotte, NC 28226

Phone

(704) 709-5351

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Nicole Rodgers, ED.S, M.ED, LCMHCNPI 1184904245

Title

Owner/Counselor

Phone

(561) 212-6651

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Nicole Rodgers, ED.S, M.ED, LCMHC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1184904245
  NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1326764945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 N CLARK ST APT 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404731",
            "telephone_number": "561-212-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1097 8322 PINEVILLE MATTHEWS ROAD STE 602",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-709-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "561-212-6651",
        "authorized_official_credential": "ED.S, M.ED, LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Kurt Mock, M.D.
• Krista Mockaitis
• Brenda Moctezuma Manzo, BT
• Harry William Moczek, D.D.S.
• Andrew Varley Moczula, M.D.
• Modern Edge Services
• Modern Era Counseling, PLLC
• Modern Home Care
• Modern Home Care
• Modern Psychology PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.