Organization Active NPI

Counseling 1-2-1,LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1649552332
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1701 Issued in NC
Legal business name
COUNSELING 1-2-1,LLC
Practice address
11030 S Tryon St Ste 302
Charlotte, NC 28273-6626
Phone
(704) 587-5469
Fax
(704) 587-5463
NPI assigned
Sep 19, 2011
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Mary Gwen Hales, LCAS
Title
Clinical Therapist
Phone
(704) 587-5469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1701 NC Primary

Addresses

Primary practice location

11030 S Tryon St Ste 302
Charlotte, NC 28273-6626

Mailing address

11030 S Tryon St Ste 302
Charlotte, NC 28273-6626
Phone (704) 587-5469

National Provider Directory

National Provider Directory

Locations

11030 S Tryon St
Ste 302
Charlotte, NC 28273
Phone (704) 587-5469

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1649552332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 S TRYON ST STE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736626",
            "telephone_number": "704-587-5469",
            "fax_number": "704-587-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 S TRYON ST STE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736626",
            "telephone_number": "704-587-5469",
            "fax_number": "704-587-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING 1-2-1,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "HALES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "704-587-5469",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1701",
            "primary": true
        }
    ],
    "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 Sep 19, 2011; 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.