Immerse Counseling and Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IMMERSE COUNSELING AND CONSULTING

Doing business as

Immerse Counseling and Consulting

Practice address

5200 Park Rd Ste 200
Charlotte, NC 28209-3650

Phone

(704) 389-0330

Fax

(704) 817-3107

NPI assigned

Feb 6, 2021

Organization subpart

No

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

Authorized official

Name

Alana Harper, LCMHC

Title

Mental Health Therapist

Phone

(704) 389-0330

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Immerse Counseling and Consulting Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1659963114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MOREHEAD STREET",
            "address_2": "SUITE 105 #3071",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-389-0330",
            "fax_number": "704-817-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-389-0330",
            "fax_number": "704-817-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Cureton Pl",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282173487",
            "country_code": "US",
            "telephone_number": "704-389-0330",
            "fax_number": "704-817-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMMERSE COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "704-389-0330",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487185989",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED, AETNA, UNITED HEALTH CARE",
            "identifier": "1487185989",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alana@icncservices.com",
            "affiliation": "N",
            "endpointDescription": "Hippa compliant business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1145 Cureton Pl",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282173487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Immerse Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immerse Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Mar 2, 2021; 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.