Peter Gerald McGourty, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3436 Issued in NC

Practice address

6025 Blakeney Park Dr
Suite 120
Charlotte, NC 28277-5703

Phone

(704) 831-6841

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Expect Success Inc

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1093885832
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578633343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ATHENA PL",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157797",
            "telephone_number": "803-396-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 BLAKENEY PARK DR",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775703",
            "telephone_number": "704-831-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOURTY",
        "first_name": "PETER",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maija Iman McGlone
• Aiko Christina McGlynn, D.O.
• Molly McGoff, LCMHC-A
• James C. McGoogan, MSPBH,MPC,LCASA,CADC
• Amanda Cobb McGough, PHD
• Kayse Shay McGovern, APRN
• Morgan McGovern, OTR/L
• David J McGowan, ATC
• Makala McGowan
• Melissa Paige McGowan, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.