Active NPI
Agnes D. Mays, LCAS
- Counselor
- Charlotte, NC
National Provider Identifier
1346518099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1766
- Practice address
- 415 E 4TH St
Charlotte, NC 28202-2670 - Phone
- (704) 458-1167
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1766 | NC | Primary |
Addresses
Primary practice location
415 E 4TH St
Charlotte, NC 28202-2670
Mailing address
PO Box 29011
Charlotte, NC 28229-9011
Phone (704) 458-1167
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 |
|---|---|---|---|
| 1766 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1346518099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29011",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282299011",
"telephone_number": "704-458-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E 4TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022670",
"telephone_number": "704-458-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "AGNES",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "1766",
"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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.