Organization Active NPI

Mosaic Integrative Counseling PLLC

  • Counselor
  • Charlotte, NC
National Provider Identifier
1598514770
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MOSAIC INTEGRATIVE COUNSELING PLLC
Practice address
10801 Johnston Rd Ste 210
Charlotte, NC 28226-0920
Phone
(704) 830-5000
NPI assigned
May 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Authorized official

Name
Michelle Martin Hurlbert, LCMHCSNPI 1649474842
Title
Owner
Phone
(704) 830-5000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

10801 Johnston Rd Ste 210
Charlotte, NC 28226-0920

Mailing address

10801 Johnston Rd Ste 210
Charlotte, NC 28226-0920
Phone (704) 830-5000

National Provider Directory

National Provider Directory

Locations

10801 Johnston Rd
Ste 210
Charlotte, NC 28226
Phone (704) 830-5000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1598514770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260920",
            "telephone_number": "704-830-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260920",
            "telephone_number": "704-830-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC INTEGRATIVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "HURLBERT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-830-5000",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "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 May 18, 2024; 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.