Active NPI
Jimmy Su
- Counselor
- Charlotte, NC
National Provider Identifier
1336095066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000033689782
- Practice address
- 9401 Arrowpoint Blvd
Charlotte, NC 28273-8166 - Phone
- (704) 426-3353
- NPI assigned
- Mar 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000033689782 | NC | Primary |
Addresses
Primary practice location
9401 Arrowpoint Blvd
Charlotte, NC 28273-8166
Mailing address
327 W Tremont Ave
Charlotte, NC 28203-4980
Phone (704) 426-3353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000033689782 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1336095066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 W TREMONT AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034980",
"telephone_number": "704-426-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 ARROWPOINT BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282738166",
"telephone_number": "704-426-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "JIMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "000033689782",
"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 Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.