Carmella Whitehead, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1590 Issued in NC

Practice address

3541 Cotillion Ave.
Charlotte, NC 28210

Phone

(646) 530-0993

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1528452851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 FAIRVIEW RD",
            "address_2": "SUITE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103354",
            "telephone_number": "646-530-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 COTILLION AVE.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "646-530-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CARMELLA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD NORTH CAROLINA PPO",
            "identifier": "106H00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey D White, LCMHC, NCC
• Tylea White
• William Alexander White
• Asia M Whited, OTR/L
• Aishah Renee Whitehead, LCSWA
• Kyle David Whitehead, MA, LPCA
• Niya Whitehead
• Ashley Whitehurst, NP
• Andrea Renee Whitener, LCMHC
• Kassidy Whitenight

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.