NPIMap

Organization Active NPI

Carolina's Creative Counseling, PA

  • Mental Health Counselor
  • Lenoir, NC
National Provider Identifier
1689974982
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAROLINA'S CREATIVE COUNSELING, PA
Practice address
520 Mulberry Street
Lenoir, NC 28645-5725
Phone
(828) 758-5101
Fax
(828) 758-5191
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Cathy Harris, LCSW
Title
Owner
Phone
(704) 844-0310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Prescribing (Medical) Psychologist 103TP0016X NU

Addresses

Primary practice location

520 Mulberry Street
Lenoir, NC 28645-5725

Mailing address

325 Matthews Mint Hill Rd
Suite 104
Matthews, NC 28105-2889
Phone (704) 844-0310

Other names 1

  • Carolina's Creative Counseling, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Carolina's Creative Counseling PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 Mulberry St SW
Lenoir, NC 28645
Phone (828) 758-5101

325 Matthews Mint Hill Rd
Ste 104
Matthews, NC 28105
Phone (704) 635-6274

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1689974982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MATTHEWS MINT HILL RD",
            "address_2": "SUITE 104",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052889",
            "telephone_number": "704-844-0310",
            "fax_number": "704-844-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MULBERRY STREET",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455725",
            "telephone_number": "828-758-5101",
            "fax_number": "828-758-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S CREATIVE COUNSELING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-844-0310",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina's Creative Counseling, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.