Organization Active NPI

Southern Collective Behavioral Health, PLLC

  • Counseling Psychologist
  • Charlotte, NC
National Provider Identifier
1548115165
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
SOUTHERN COLLECTIVE BEHAVIORAL HEALTH, PLLC
Practice address
3117 Whiting Ave
Charlotte, NC 28205-1648
Phone
(330) 310-5798
NPI assigned
Feb 27, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Nathan Bitecofer, PHDNPI 1326885120
Title
Member
Phone
(330) 310-5798

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Counseling Psychologist 103TC1900X NU Primary
Health Service Psychologist 103TH0100X NU

Addresses

Primary practice location

3117 Whiting Ave
Charlotte, NC 28205-1648

Mailing address

3117 Whiting Ave
Charlotte, NC 28205-1648

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1548115165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "330-310-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLLECTIVE BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "BITECOFER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-310-5798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "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 Feb 27, 2026; 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.