Individual provider Active NPI

Ortavia Patton, LCAS, LCMHCA

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1386396307
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13414 Issued in NC
Practice address
280 Concord Pkwy S Ste 100
Concord, NC 28027-2705
Phone
(704) 560-9926
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13414 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23523 NC

Addresses

Primary practice location

280 Concord Pkwy S Ste 100
Concord, NC 28027-2705

Mailing address

2804 Pennsylvania Ave
Kannapolis, NC 28083-7229
Phone (704) 560-9926

Other practice location 1

429 Billingsley Rd
Charlotte, NC 28211-1007
Phone (704) 445-6900

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

LicenseStateTypeSpecialty
23523NCMDAddiction (Substance Use Disorder) Counselor
13414NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1386396307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 PENNSYLVANIA AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280837229",
            "telephone_number": "704-560-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272705",
            "telephone_number": "704-560-9926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Billingsley Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111007",
            "country_code": "US",
            "telephone_number": "704-445-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ORTAVIA",
        "credential": "LCAS, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13414",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.