Active NPI
Ebl Counseling and Therapeutic Services PLLC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1447968847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EBL COUNSELING AND THERAPEUTIC SERVICES PLLC
- Practice address
- 11601 Reames Rd Ste a
Charlotte, NC 28269-7662 - Phone
- (980) 833-3606
- NPI assigned
- Nov 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeri Grier Carter, LMCHCA
- Title
- Mental Health Counselor
- Phone
- (980) 833-3606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11601 Reames Rd Ste a
Charlotte, NC 28269-7662
Mailing address
4009 Corning PL Ste E2-386
Charlotte, NC 28216-1299
Phone (980) 833-3606
National Provider Directory
National Provider DirectoryLocations
11601 Reames Rd
Ste A
Charlotte, NC 28269
Phone (980) 833-3606
4009 Corning Pl
Ste E2386
Charlotte, NC 28216
Phone (704) 612-1791
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Charlotte, NC
- NPI 1316662117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1447968847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 CORNING PL STE E2-386",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282161299",
"telephone_number": "980-833-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 REAMES RD STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697662",
"telephone_number": "980-833-3606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBL COUNSELING AND THERAPEUTIC SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JERI",
"authorized_official_middle_name": "GRIER",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "980-833-3606",
"authorized_official_credential": "LMCHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.