Active NPI
Raul Antonio Zambrano III, LCMHC-A
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1467934794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14227
- Practice address
- 7940 Williams Pond LN Ste 250
Charlotte, NC 28277-8412 - Phone
- (704) 341-7401
- NPI assigned
- Sep 4, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14227 | NC | Primary |
Addresses
Primary practice location
7940 Williams Pond LN Ste 250
Charlotte, NC 28277-8412
Mailing address
25075 Woodhaven Dr
Tega Cay, SC 29708-8323
Phone (386) 299-7950
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 |
|---|---|---|---|
| A14227 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- raulzambrano@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1467934794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25075 WOODHAVEN DR",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297088323",
"telephone_number": "386-299-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 WILLIAMS POND LN STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778412",
"telephone_number": "704-341-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "RAUL",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCMHC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carlyn Makenzi Zahner, RD, LDN
- Amanda Jill Zaidman, MSW, LCSW
- Molly H. Zalewski, CRNA
- Daniel Henry Zalinov, PA
- Sheri Lynn Zallar
- Zamitti, Gidaly, Abrams, Cohen & Associates PC
- Zammitti Gidaly Abrams Cohen & Associates IV PC
- Zammitti Gidaly Abrams Cohen and Associates V
- Philippe Jude Zamor, MD
- Sergio Briand Zamorano Araoz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.