Organization Active NPI

R3 Counseling & Coaching Services, PLLC

  • Mental Health Counselor
  • Matthews, NC
National Provider Identifier
1346902426
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
R3 COUNSELING & COACHING SERVICES, PLLC
Practice address
325 Matthews Mint Hill Rd Ste 210
Matthews, NC 28105-0004
Phone
(704) 350-5837
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Tayona Fraylon
Title
Owner
Phone
(704) 350-5837

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

325 Matthews Mint Hill Rd Ste 210
Matthews, NC 28105-0004

Mailing address

6303 Holly Knoll Dr
Charlotte, NC 28227-2429
Phone (704) 350-5837

Other names 1

  • R3 Counseling & Coaching Services, PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1346902426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 HOLLY KNOLL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282272429",
            "telephone_number": "704-350-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MATTHEWS MINT HILL RD STE 210",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050004",
            "telephone_number": "704-350-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 COUNSELING & COACHING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "FRAYLON",
        "authorized_official_first_name": "TAYONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-350-5837"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R3 Counseling & Coaching Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.