Active NPI
April Broadwater Pomerlyan, MAED, LCMHC
- Mental Health Counselor
- Mint Hill, NC
National Provider Identifier
1679931612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11996
- Practice address
- 6824 Wilson Grove Rd
Mint Hill, NC 28227-4239 - Phone
- (980) 290-4752
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11996 | NC | |
| Mental Health Counselor | 101YM0800X | 11996 | NC | Primary |
Addresses
Primary practice location
6824 Wilson Grove Rd
Mint Hill, NC 28227-4239
Mailing address
6824 Wilson Grove Rd
Mint Hill, NC 28227-4239
Phone (704) 849-0144
Other practice location 1
2124 Crown Centre Dr Ste 400
Charlotte, NC 28227
Phone (704) 849-0144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC11996 | Other | NC | NCBLPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11996 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1679931612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6824 WILSON GROVE RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282274239",
"telephone_number": "704-849-0144",
"fax_number": "704-845-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6824 WILSON GROVE RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282274239",
"telephone_number": "980-290-4752"
}
],
"practiceLocations": [
{
"address_1": "2124 Crown Centre Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28227",
"country_code": "US",
"telephone_number": "704-849-0144",
"fax_number": "704-845-1611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POMERLYAN",
"first_name": "APRIL",
"middle_name": "BROADWATER",
"credential": "MAED, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11996",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBLPC",
"identifier": "LPC11996",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.