Individual provider Active NPI

Suraj Nagarji, LPCA, NCC, M.S.

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1639620339
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A12524 Issued in NC
Practice address
9820 Northcross Center CT
Huntersville, NC 28078-7356
Phone
(704) 896-6044
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A12524 NC Primary

Addresses

Primary practice location

9820 Northcross Center CT
Huntersville, NC 28078-7356

Mailing address

PO Box 1546
Huntersville, NC 28070-1546
Phone (704) 896-6044

Other names 1

  • Suraj Gunvant Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A12524NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Holistic Solutions, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1639620339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280701546",
            "telephone_number": "704-896-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "704-896-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARJI",
        "first_name": "SURAJ",
        "name_prefix": "Mrs.",
        "credential": "LPCA, NCC, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURAJ",
            "last_name": "PATEL",
            "middle_name": "GUNVANT",
            "credential": "LPCA, NCC, M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.