NPIMap

Organization Active NPI

Carolinas Counseling Group of Charlotte, Inc.

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1558335679
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
994 Issued in NC
Legal business name
CAROLINAS COUNSELING GROUP OF CHARLOTTE, INC.
Practice address
7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275
Phone
(704) 752-8414
Fax
(704) 752-8104
NPI assigned
Feb 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. David A Russ, PH.DNPI 1285608794
Title
President
Phone
(704) 752-8414

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
Professional Counselor 101YP2500X 2886 NC
Psychologist 103T00000X 2266 NC
Marriage & Family Therapist 106H00000X 994 NC Primary

Addresses

Primary practice location

7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275

Mailing address

7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275
Phone (704) 752-8414

National Provider Directory

National Provider Directory

Locations

7401 Carmel Executive Park Dr
Ste 210
Charlotte, NC 28226
Phone (704) 752-8414

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558335679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268275",
            "telephone_number": "704-752-8414",
            "fax_number": "704-752-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268275",
            "telephone_number": "704-752-8414",
            "fax_number": "704-752-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS COUNSELING GROUP OF CHARLOTTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-752-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2886",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2266",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "994",
            "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 Sep 11, 2025; 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.