NPIMap

Organization Active NPI

Carolina Counseling Group, LLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1396960985
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2078 Issued in NC
Legal business name
CAROLINA COUNSELING GROUP, LLC
Practice address
1714 S Tryon St
Charlotte, NC 28203-4459
Phone
(704) 342-8390
Fax
(704) 342-8391
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dawn A Maybeck, MA LPCNPI 1083750715
Title
President
Phone
(704) 342-8390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 2078 NC Primary

Addresses

Primary practice location

1714 S Tryon St
Charlotte, NC 28203-4459

Mailing address

1714 S Tryon St
Charlotte, NC 28203-4459
Phone (704) 342-8390

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1396960985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034459",
            "telephone_number": "704-342-8390",
            "fax_number": "704-342-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034459",
            "telephone_number": "704-342-8390",
            "fax_number": "704-342-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "MAYBECK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-342-8390",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2078",
            "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 Apr 23, 2009; 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.