Professional Resources Enhancing Personal Success LLP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PROFESSIONAL RESOURCES ENHANCING PERSONAL SUCCESS LLP

Doing business as

Professional Resources Enhancing Personal Success LLP

Practice address

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654

Phone

(980) 819-6585

NPI assigned

Mar 20, 2019

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Belinda A McDonald

Title

Ceo

Phone

(704) 712-1277

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Professional Resources Enhancing Personal Success LLP Doing business as

Electronic endpoints 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malik Ashhali, LCSW, LCAS, MAC, CSI

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1730424169

  Addiction (Substance Use Disorder)

  NPD
• Cornelia Pringle, LPC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1992028914

  Addiction (Substance Use Disorder)

  NPD
• Daloria Teague, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1528395050

  Addiction (Substance Use Disorder)

  NPD
• Caroline Thomas - Gay

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1821537572
  NPD
• Barbara Mary Wallace, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1649730656
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1629538350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMDEN RD STE 107-137",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034690",
            "telephone_number": "704-712-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 ALBEMARLE RD STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056654",
            "telephone_number": "980-819-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2538 Crispin Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282084855",
            "country_code": "US",
            "telephone_number": "704-712-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCES ENHANCING PERSONAL SUCCESS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-712-1277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629538350",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902385172",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://us02web.zoom.us/j/3883309717?pwd=aUhpMkZJQUdOV244R1RnS2dpT053Zz09",
            "affiliation": "N",
            "address_1": "2538 Crispin Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282084855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Professional Resources Enhancing Personal Success LLP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Resources Enhancing Personal Success LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Care Home Health Services
• Professional Care Home Health Services
• Professional Care Home Health Services
• Professional Healthcare Assessments, PLLC
• Professional Healthcare47
• Deborah Hall Proffitt, M.A.
• Profound Counseling
• Progress and Peace Counseling Services, PLLC
• Progressive Care LLC
• Progressive Community Services

• Early Intervention Provider Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.