Organization Active NPI

CFT Counseling and Supervision Services, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1477807535
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7046 Issued in NC
Legal business name
CFT COUNSELING AND SUPERVISION SERVICES, PLLC
Practice address
11400 Celandine CT
Charlotte, NC 28213-9265
Phone
(704) 374-5754
Fax
(704) 374-5760
NPI assigned
Oct 28, 2012
Last updated
Oct 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

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

Authorized official

Name
Mr. Charles F Thomas, LMHC,LPCS, LCAS, CCSNPI 1316106313
Title
Director
Phone
(704) 374-5754

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7046 NC Primary

Addresses

Primary practice location

11400 Celandine CT
Charlotte, NC 28213-9265

Mailing address

11400 Celandine CT
Charlotte, NC 28213-9265
Phone (704) 374-5754

Other identifiers 1

IdentifierTypeStateIssuer
6110587MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1477807535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 CELANDINE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139265",
            "telephone_number": "704-374-5754",
            "fax_number": "704-374-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 CELANDINE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139265",
            "telephone_number": "704-374-5754",
            "fax_number": "704-374-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFT COUNSELING AND SUPERVISION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-374-5754",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC,LPCS, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6110587",
            "state": "NC"
        }
    ],
    "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 Oct 28, 2012; 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.