NPIMap

Organization Active NPI

Modern Era Counseling, PLLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1518508340
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MODERN ERA COUNSELING, PLLC
Practice address
4730 Park Rd Ste a
Charlotte, NC 28209-4205
Phone
(704) 317-7638
NPI assigned
Oct 2, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matthew R Smith, LCMHCNPI 1114446002
Title
Owner & Therapist
Phone
(704) 954-8295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

4730 Park Rd
Ste A
Charlotte, NC 28209
Phone (704) 317-7638

5200 Park Rd
Ste 218D
Charlotte, NC 28209

1300 Baxter St
Ste 460
Charlotte, NC 28204
Phone (704) 317-7638

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

NPPES NPI Registry

Primary practice location

4730 Park Rd Ste a
Charlotte, NC 28209-4205

Mailing address

4730 Park Rd Ste a
Charlotte, NC 28209-4205
Phone (704) 317-7638

Other practice location 1

1300 Baxter St Ste 460
Charlotte, NC 28204-3080
Phone (704) 317-7638

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1518508340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 PARK RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094205",
            "telephone_number": "704-317-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 PARK RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094205",
            "telephone_number": "704-317-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Baxter St Ste 460",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043080",
            "country_code": "US",
            "telephone_number": "704-317-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN ERA COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "704-954-8295",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 2, 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.