Willie Clarence Fleming, PH.D.,LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7401 Issued in NC

Practice address

1973 JN Pease PL
Suite 102
Charlotte, NC 28262-4547

Phone

(704) 548-5299

Fax

(704) 548-5292

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifeskills Counseling & Consulting Group

  • Professional Counselor
  • Charlotte, NC
  • NPI 1922248376
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1508190265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LORETTA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159716",
            "telephone_number": "704-563-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 JN PEASE PL",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624547",
            "telephone_number": "704-548-5299",
            "fax_number": "704-548-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "WILLIE",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Fleming, MD
• Nicole Suzanne Fleming, PA
• Shadavias Monique Fleming, LCSWA
• Shani Fleming, PA-C
• Trey Fleming
• Carmen P Flesher, CRNA, DNP
• Justin Flesher, CRNA
• Amanda Nicole Fletcher, MD, MSCR
• Amy Fletcher, M.D.
• Bria Fletcher, DR

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.