Organization Active NPI

Byrd Counseling & Consulting, PLLC

  • Clinical Social Worker
  • Cornelius, NC
National Provider Identifier
1487119442
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BYRD COUNSELING & CONSULTING, PLLC
Practice address
18151 W Catawba Ave
Cornelius, NC 28031-5641
Phone
(704) 621-4308
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Mrs. Katrice Lachelle Byrd, MSW, LCSWNPI 1487194692
Title
Owner/Therapist
Phone
(678) 522-5729

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18151 W Catawba Ave
Cornelius, NC 28031-5641

Mailing address

5119 Ingleburn LN
Huntersville, NC 28078-7760
Phone (678) 522-5729

Other practice location 1

10130 Mallard Creek Rd Ste 207
Charlotte, NC 28262-6000
Phone (704) 621-4308

Other identifiers 3

IdentifierTypeStateIssuer
1487194692MedicaidNC
1487194692MedicaidSC
1487119442MedicaidNC

National Provider Directory

National Provider Directory

Locations

10130 Mallard Creek Rd
Ste 207
Charlotte, NC 28262
Phone (800) 470-8303

Practitioners & affiliated clinicians

Practitioners 1

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": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1487119442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 INGLEBURN LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787760",
            "telephone_number": "678-522-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-621-4308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10130 Mallard Creek Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282626000",
            "country_code": "US",
            "telephone_number": "704-621-4308",
            "fax_number": "704-870-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BYRD COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "KATRICE",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "678-522-5729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487194692",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487194692",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487119442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.