Organization Active NPI

Tabonuco Counseling and Consulting PLLC

  • Mental Health Counselor
  • Mint Hill, NC
National Provider Identifier
1508557380
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TABONUCO COUNSELING AND CONSULTING PLLC
Practice address
7215 Lebanon Rd Ste C
Mint Hill, NC 28227-9027
Phone
(704) 807-4089
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dr. Christa Brown Phipps, LCMHCS, RPTS, NCCNPI 1912034752
Title
Owner
Phone
(704) 807-4089

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7215 Lebanon Rd Ste C
Mint Hill, NC 28227-9027

Mailing address

10107 Atkins Ridge Dr
Charlotte, NC 28213-4178
Phone (704) 807-4089

National Provider Directory

National Provider Directory

Locations

7215 Lebanon Rd
Ste C
Mint Hill, NC 28227
Phone (980) 285-3689

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": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1508557380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 ATKINS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134178",
            "telephone_number": "704-807-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD STE C",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279027",
            "telephone_number": "704-807-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABONUCO COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-807-4089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMHCS, RPTS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.