Counseling and Psychological Services - Charlotte

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

COUNSELING AND PSYCHOLOGICAL SERVICES - CHARLOTTE

Practice address

3623 Latrobe Dr Ste 201
Charlotte, NC 28211-4885

Phone

(704) 248-2971

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tisha Johnson, PSYDNPI 1629274089

Title

Owner

Phone

(704) 248-2971

Specialties & licenses 3

Addresses

Other names 1

• CAPS-Charlotte Other name

Locations

Practitioners 1

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

• Tisha M Johnson, PSYD

  • Psychologist
  • Atlanta, GA
  • NPI 1629274089
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1619689353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950032",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303772032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114885",
            "telephone_number": "704-248-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGICAL SERVICES - CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-248-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPS-Charlotte",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dominique Council
• Gloria Samantha Council, LCCT
• Joshua Chad Counihan, MD
• Counseling & Consulting Professionals of NC, PLLC
• Counseling 1-2-1,LLC
• Counseling Center at Charlotte
• Counseling Center at Charlotte
• Counseling Insights, Inc.
• Counseling Services at Steele Creek, PLLC
• Counseling Wellness & Health, LLC

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.