Allen Terrell Hargrove

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15472 Issued in NC

Practice address

4917 Albemarle Rd Ste 106
Charlotte, NC 28205-6454

Phone

(704) 567-3203

Fax

(704) 567-9522

NPI assigned

Jan 15, 2020

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moss Counseling Services PLLC.

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1750646931
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1396385639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 ALBEMARLE RD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056454",
            "telephone_number": "704-567-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 ALBEMARLE RD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056454",
            "telephone_number": "704-567-3203",
            "fax_number": "704-567-9522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Albemarle Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056654",
            "country_code": "US",
            "telephone_number": "704-567-7733",
            "fax_number": "704-567-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "ALLEN",
        "middle_name": "TERRELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mosscounseling.athargrove@gmail.com",
            "affiliation": "N",
            "address_1": "4921 Albemarle Rd Ste 106",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282056654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Halimah Adarra Hargett, MSW, LCSW
• Sarah Lynn Hargett, NP
• Bradley Hargis, DC
• Cassandra S Hargraves
• Matthew James Hargreaves, D.C.
• Shenell Hargrove
• Angela Marie Hargrow-Anthony, PH.D.
• Gelt Haridhas Pushpa
• Shamille Hariharan, MD
• Jamie Futo Haring, PA-C

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.