Polaris Counseling Center PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

POLARIS COUNSELING CENTER PLLC

Practice address

11709 Fruehauf Dr # 0
Charlotte, NC 28273-7284

Phone

(980) 396-2870

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Robert Costa Lodwick, LCMHCNPI 1174916662

Title

Ceo

Phone

(704) 476-5204

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Lodwick

  • Counselor
  • Concord, NC
  • NPI 1174916662
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1417648239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 ERSKINE WOODS DR",
            "city": "BESSEMER CITY",
            "state": "NC",
            "postal_code": "280166556",
            "telephone_number": "704-476-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR # 0",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282737284",
            "telephone_number": "980-396-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "LODWICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "COSTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-476-5204",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 15, 2023; 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.