Active NPI
Fresh Insights Counseling PC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1548099146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FRESH INSIGHTS COUNSELING PC
- Practice address
- 7704 England St
Charlotte, NC 28273-5954 - Phone
- (704) 965-5015
- NPI assigned
- Jul 31, 2024
- Last updated
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geanetta Johnson Agbona, CPC CRC CPC-I
- Title
- Administrator
- Phone
- (704) 254-7900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7704 England St
Charlotte, NC 28273-5954
Mailing address
7704 England St
Charlotte, NC 28273-5954
Phone (704) 965-5015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1164251070
Addiction (Substance Use Disorder)
-
- Student in an Organized Health Care Education/Training Program
- Indian Trail, NC
- NPI 1053605576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1548099146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7704 ENGLAND ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735954",
"telephone_number": "704-965-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7704 ENGLAND ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735954",
"telephone_number": "704-965-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH INSIGHTS COUNSELING PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "AGBONA",
"authorized_official_first_name": "GEANETTA",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-254-7900",
"authorized_official_credential": "CPC CRC CPC-I"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.