Gaines Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GAINES THERAPY PLLC

Practice address

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Phone

(704) 748-0735

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Aldi GainesNPI 1902352263

Title

Lcmhc/Provider

Phone

(704) 672-4655

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aldi Gaines, LPC

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1902352263
  NPD Authorized official
• Stephanie Colson

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1093249989
  NPD (past)
• Kelly M Richman, LICSW

  • Clinical Social Worker
  • Cumberland, RI
  • NPI 1023164985
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1598362188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470164",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470164",
            "telephone_number": "704-672-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "704-748-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINES THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "ALDI",
        "authorized_official_title_or_position": "LCMHC/PROVIDER",
        "authorized_official_telephone_number": "704-672-4655"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabetha Frost, OT
• Marvin William Futtersak, PH.D.
• G. Abrams and R. Cohen XX, PC
• Gabbysco Home Care Agency, LLC
• Kalani Gaddy
• Aldi Gaines, LPC
• Kim Gajan, MS, CCC-SLP
• Prasannakumar Kanubhai Gajera
• Steven R Gamrat
• Ganglani Reafield PLLC

• Mental Health Counselor in Waxhaw, NC
• Providers in Waxhaw, 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 Jun 29, 2021; 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.