Active NPI
Jumana Shebib Scoggins, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1417205220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8863
- Practice address
- 6025 Blakeney Park Dr
Suite 120
Charlotte, NC 28277-5703 - Phone
- (704) 277-7157
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8863 | NC | Primary |
Addresses
Primary practice location
6025 Blakeney Park Dr
Suite 120
Charlotte, NC 28277-5703
Mailing address
15810 Sullivan Ridge Dr
Charlotte, NC 28277-2477
Phone (704) 277-7157
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8863 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Charlotte Counseling and Psychotherapy, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1316712847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1417205220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15810 SULLIVAN RIDGE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772477",
"telephone_number": "704-277-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 BLAKENEY PARK DR",
"address_2": "SUITE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775703",
"telephone_number": "704-277-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOGGINS",
"first_name": "JUMANA",
"middle_name": "SHEBIB",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8863",
"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 Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.