Individual provider Active NPI

Erica Wright Whitlock, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1538955299
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
205536 Issued in NC
Practice address
Real Talk Counseling
2128 McClintock Rd
Charlotte, NC 28205
Phone
(980) 939-0991
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 205536 NC Primary

Addresses

Primary practice location

Real Talk Counseling
2128 McClintock Rd
Charlotte, NC 28205

Mailing address

1198 Chronicle Ave
Gastonia, NC 28052-5445
Phone (980) 288-1196

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723004658 NC Practitioner - Nurse Practitioner 0749796860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205536NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems NC PLLC CurrentSince Jun 10, 2025 Accepting new patients
Real Talk Counseling CurrentSince Apr 20, 2025 Accepting new patients

Locations

2128 McClintock Rd
Charlotte, NC 28205
Phone (704) 659-6706

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1538955299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 CHRONICLE AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280525445",
            "telephone_number": "980-288-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REAL TALK COUNSELING",
            "address_2": "2128 MCCLINTOCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "980-939-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "ERICA",
        "middle_name": "WRIGHT",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "205536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.