Individual provider Active NPI

Jenny Rebekah Strickland

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1417620568
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16797 Issued in NC
Practice address
212 S Tryon St
Charlotte, NC 28281-0001
Phone
(828) 391-9773
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16797 NC Primary

Addresses

Primary practice location

212 S Tryon St
Charlotte, NC 28281-0001

Mailing address

19211 Panama City Beach Pkwy
Panama City Beach, FL 32413-8712
Phone (704) 226-7704

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rocinantewellness.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703001019 NC Practitioner - Mental Health Counselor 5193269926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16797NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince May 1, 2024 Accepting new patients
Rocinante Holistic Wellness Counseling & Recovery Services CurrentSince Oct 16, 2022 Accepting new patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

19211 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 312-3577

212 S Tryon St
Charlotte, NC 28281
Phone (704) 226-7704

1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320

1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320

1781 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 328-4398

617 S Green St
Ste 300
Morganton, NC 28655
Phone (828) 433-8181

Interoperability endpoints

  • Direct secure messaging: jstrickland@ctshealth.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1417620568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138712",
            "telephone_number": "704-226-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282810001",
            "telephone_number": "828-391-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "JENNY",
        "middle_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rocinantewellness.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 S Tryon St",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282810001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.