Organization Active NPI

Anchored Counseling & Consultation PLLC

Doing business as Self

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1487464095
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANCHORED COUNSELING & CONSULTATION PLLC
Doing business as
Self
Practice address
11511 Laurel View Dr
Charlotte, NC 28273-8014
Phone
(803) 431-1132
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Leeanne Thompson-Forte, LCSW, LCASNPI 1073083382
Title
Owner
Phone
(803) 431-1132

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

11511 Laurel View Dr
Charlotte, NC 28273-8014

Mailing address

11511 Laurel View Dr
Charlotte, NC 28273-8014
Phone (803) 431-1132

Other names 1

  • Self Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260515000217 NC Part B Supplier - Clinic/Group Practice 9931678372 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

8832 Blakeney Professional Dr
Ste 103
Charlotte, NC 28277
Phone (704) 277-7157

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1487464095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 LAUREL VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282738014",
            "telephone_number": "803-431-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 LAUREL VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282738014",
            "telephone_number": "803-431-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED COUNSELING & CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-FORTE",
        "authorized_official_first_name": "LEEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-431-1132",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.