Organization Active NPI

Community Counseling Center

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1386938231
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMMUNITY COUNSELING CENTER
Practice address
7950 Nations Ford Rd
Ste D4
Charlotte, NC 28217-8014
Phone
(704) 900-0905
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Antoine Linell Mayfield
Title
Owner
Phone
(704) 900-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7950 Nations Ford Rd
Ste D4
Charlotte, NC 28217-8014

Mailing address

7950 Nations Ford Rd
Ste D4
Charlotte, NC 28217-8014

National Provider Directory

National Provider Directory

Locations

7950 Nations Ford Rd
Ste D4
Charlotte, NC 28217
Phone (704) 900-0905

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1386938231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NATIONS FORD RD",
            "address_2": "STE D4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NATIONS FORD RD",
            "address_2": "STE D4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178014",
            "telephone_number": "704-900-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "LINELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-900-0905"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jun 7, 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.

Verify at the official NPI Registry.