NPIMap

Organization Active NPI

Counseling Center at Charlotte

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1477595809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2413 Issued in NC
Legal business name
COUNSELING CENTER AT CHARLOTTE
Practice address
328 W Carson Blvd
Charlotte, NC 28203-4024
Phone
(704) 375-9025
Fax
(704) 375-0054
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom H. O'Neal, L.P.C.
Title
Director
Phone
(704) 375-9025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2413 NC Primary

Addresses

Primary practice location

328 W Carson Blvd
Charlotte, NC 28203-4024

Mailing address

328 W Carson Blvd
Charlotte, NC 28203-4024
Phone (704) 375-9025

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center at Charlotte2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477595809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W CARSON BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034024",
            "telephone_number": "704-375-9025",
            "fax_number": "704-375-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W CARSON BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034024",
            "telephone_number": "704-375-9025",
            "fax_number": "704-375-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-375-9025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2413",
            "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 22, 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.

Verify at the official NPI Registry.