Iris Whitlock, LPC LPC-I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10758 Issued in NC

Practice address

13717 Cinnabar PL
Huntersville, NC 28078-5342

Phone

(704) 962-1924

NPI assigned

Jun 19, 2014

Last updated

Dec 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Trauma Therapy of the Carolinas LLC

  dba Trauma Therapy of the Carolinas

  • Mental Health Counselor
  • Huntersville, NC
  • NPI 1942716808
  Medicare reassignment NPD Authorized official
• Piedmont Family Services

  • Health Maintenance Organization
  • Lincolnton, NC
  • NPI 1851719389
  Authorized official Same address or phone

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513468800000",
    "number": "1659785319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13717 CINNABAR PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785342",
            "telephone_number": "704-962-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13717 CINNABAR PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785342",
            "telephone_number": "704-962-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "IRIS",
        "credential": "LPC  LPC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2017-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6216",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rechetta White
• Shayne Marie White, PTA
• Taylor Ann White, PT, DPT
• Brandon C Whiteside, MD
• Juliya Whitley, LMFTA
• Bess Asimos Whitmore, PA-C
• Courtney Whittington
• Benjamin Whittle, BCBA
• Julie Michelle Wicher, M.A., CCC-SLP
• Maryan Nader Wicker, D.P.T

• Mental Health Counselor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.