Active NPI
Vital Care Solutions
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1639841893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- VITAL CARE SOLUTIONS
- Practice address
- 615 E 6TH St Ste 103
Charlotte, NC 28202-2918 - Phone
- (704) 430-1038
- NPI assigned
- Oct 5, 2021
- Last updated
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Crystal Simmons
- Title
- Owner
- Phone
- (704) 430-1038
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
615 E 6TH St Ste 103
Charlotte, NC 28202-2918
Mailing address
13724 Riding Hill Ave
Charlotte, NC 28213-4251
Phone (704) 430-1038
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1962747675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1639841893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13724 RIDING HILL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134251",
"telephone_number": "704-430-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E 6TH ST STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022918",
"telephone_number": "704-430-1038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-430-1038",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 Jan 11, 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.