NPIMap

Organization Active NPI

Divine Interventions

  • Counselor
  • Charlotte, NC
National Provider Identifier
1699004010
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DIVINE INTERVENTIONS
Practice address
1792 Pergola PL
Charlotte, NC 28213-2107
Phone
(704) 230-9015
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Kyshia A Jones, MS
Title
Owner
Phone
(704) 230-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1792 Pergola PL
Charlotte, NC 28213-2107

Mailing address

1792 Pergola PL
Charlotte, NC 28213-2107
Phone (704) 230-9015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1699004010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 PERGOLA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132107",
            "telephone_number": "704-230-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 PERGOLA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132107",
            "telephone_number": "704-230-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KYSHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-230-9015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Apr 5, 2011; 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.