Individual provider Active NPI

Sara Wilkerson, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1528677226
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15964 Issued in NC
Practice address
5950 Fairview Rd Ste 770
Charlotte, NC 28210-3142
Phone
(980) 999-0501
Fax
(980) 980-5841
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15964 NC Primary
Mental Health Counselor 101YM0800X 9408 SC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

5950 Fairview Rd Ste 770
Charlotte, NC 28210-3142

Mailing address

2500 Red Barn LN
Charlotte, NC 28210-6145
Phone (980) 999-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003266 NC Practitioner - Mental Health Counselor 1557897238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southpark Psychotherapy PLLCGroup PAC ID 3476089152, 2 clinicians

Practice addresses (Care Compare)

309 S Sharon Amity Rd
Suite 304
Charlotte, NC 28211-2886

5950 Fairview Rd
Suite 660
Charlotte, NC 28210-3113
Phone (980) 999-0501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9408SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southpark Psychotherapy PLLC Mental Health CurrentSince Aug 14, 2020 Accepting new patients
Dogwood Counseling PLLC Multi-Specialty PastSince Aug 1, 2020 Accepting new patients

Locations

5950 Fairview Rd
Ste 770
Charlotte, NC 28210
Phone (704) 457-7834

5950 Fairview Rd
Ste 660
Charlotte, NC 28210
Phone (704) 282-1661

309 S Sharon Amity Rd
Ste 304
Charlotte, NC 28211
Phone (704) 442-2400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1528677226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RED BARN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106145",
            "telephone_number": "980-999-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 770",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103142",
            "telephone_number": "980-999-0501",
            "fax_number": "980-980-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "SARA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15964",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.