Organization Active NPI

Child and Family Counseling, PLLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1659562056
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3784 Issued in NC
Legal business name
CHILD AND FAMILY COUNSELING, PLLC
Practice address
1039 Dooley Dr
Charlotte, NC 28227-8142
Phone
(704) 651-6512
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mr. Clarence Derek Littlefield, MA, LPCNPI 1972715050
Title
Clinical Director/Owner-Operator
Phone
(704) 651-6512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3784 NC Primary

Addresses

Primary practice location

1039 Dooley Dr
Charlotte, NC 28227-8142

Mailing address

1039 Dooley Dr
Charlotte, NC 28227-8142
Phone (704) 651-6512

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1659562056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 DOOLEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278142",
            "telephone_number": "704-651-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 DOOLEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278142",
            "telephone_number": "704-651-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "LITTLEFIELD",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER-OPERATOR",
        "authorized_official_telephone_number": "704-651-6512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3784",
            "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 Aug 9, 2007; 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.