Individual provider Active NPI

Jennifer Cobb, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1689145344
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14279 Issued in NC
Practice address
7714 Cedar Creek LN Apt 205
Charlotte, NC 28210-8003
Phone
(704) 517-0854
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14279 NC Primary

Addresses

Primary practice location

7714 Cedar Creek LN Apt 205
Charlotte, NC 28210-8003

Mailing address

7714 Cedar Creek LN Apt 205
Charlotte, NC 28210-8003
Phone (704) 517-0854

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

LicenseStateTypeSpecialty
14279NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence View Counseling & Play Therapy, PLLC Current Accepting new patients
Child and Family Development Inc. Past Accepting new patients

Locations

5950 Fairview Rd
Ste 306
Charlotte, NC 28210
Phone (704) 659-6220

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1689145344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 CEDAR CREEK LN APT 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108003",
            "telephone_number": "704-517-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 CEDAR CREEK LN APT 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108003",
            "telephone_number": "704-517-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14279",
            "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 15, 2025; 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.