NPIMap

Organization Active NPI

Charlotte Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matthews, NC
National Provider Identifier
1609390046
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C Issued in NC
Legal business name
CHARLOTTE THERAPY CENTER
Practice address
325 Matthews Mint Hill Rd Ste 103
Matthews, NC 28105-2889
Phone
(704) 900-2904
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Joseph Edward Nissen, LCSWNPI 1851779508
Title
Owner/Therapist
Phone
(704) 900-2904

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C NC Primary

Addresses

Primary practice location

325 Matthews Mint Hill Rd Ste 103
Matthews, NC 28105-2889

Mailing address

11433 Baystone PL
Concord, NC 28025-9107

National Provider Directory

National Provider Directory

Locations

325 Matthews Mint Hill Rd
Ste 103
Matthews, NC 28105
Phone (704) 900-2904

Practitioners & affiliated clinicians

Practitioners 8

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1609390046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 BAYSTONE PL",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MATTHEWS MINT HILL RD STE 103",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052889",
            "telephone_number": "704-900-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "NISSEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-900-2904",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.