Individual provider Active NPI

Kalonji Jegede-Roberts

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1497660849
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A23188 Issued in NC
Practice address
3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823
Phone
(704) 364-3989
NPI assigned
Aug 18, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A23188 NC
Mental Health Counselor 101YM0800X A23188 NC Primary

Addresses

Primary practice location

3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823

Mailing address

9506 Saddle Run TRL
Charlotte, NC 28269-0383

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

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1497660849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 SADDLE RUN TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 LATROBE DR STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114823",
            "telephone_number": "704-364-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGEDE-ROBERTS",
        "first_name": "KALONJI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A23188",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23188",
            "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 24, 2026; 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.