Lance Robert Nelson, M.A. L.P.C.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4806S Issued in NC

Practice address

1811 Sardis Rd N Ste 207
Charlotte, NC 28270-3000

Phone

(704) 281-7118

NPI assigned

Apr 8, 2008

Last updated

Jan 16, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1407029895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ANTIOCH WOODS DR",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281047406",
            "telephone_number": "704-281-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SARDIS RD N STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703000",
            "telephone_number": "704-281-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Antioch Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Weddington",
            "state": "NC",
            "postal_code": "281047406",
            "country_code": "US",
            "telephone_number": "704-281-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LANCE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.A.     L.P.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4806S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ione Nelson, PA
• Heather Kirsten Nelson, NP
• Jacob Dillon Nelson, MD
• Jade Micole Nelson
• Kenneth Nelson
• Lotes Nelson, LPC, NCC
• Morgan Lorick Nelson, FNP
• Noura Zahra Nelson, PA-C
• Samantha Nelson
• Shaquill Nelson

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.