Organization Active NPI

Christ Centered Community Counseling PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1699200170
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C0009752 Issued in NC
Legal business name
CHRIST CENTERED COMMUNITY COUNSELING PLLC
Practice address
2225 Freedom Dr Ste 2
Charlotte, NC 28208-4035
Phone
(045) 377-7757
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Mr. Jarris D Bell
Title
Licensed Clinical Social Worker
Phone
(704) 301-6754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C0009752 NC Primary

Addresses

Primary practice location

2225 Freedom Dr Ste 2
Charlotte, NC 28208-4035

Mailing address

2225 Freedom Dr Ste 2
Charlotte, NC 28208-4035
Phone (045) 377-7757

National Provider Directory

National Provider Directory

Locations

2225 Freedom Dr
Ste 2
Charlotte, NC 28208
Phone (704) 537-7775

2211 W Morehead St
Charlotte, NC 28208
Phone (704) 537-7775

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1699200170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 FREEDOM DR STE 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084035",
            "telephone_number": "045-377-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 FREEDOM DR STE 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084035",
            "telephone_number": "045-377-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST CENTERED COMMUNITY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JARRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-301-6754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C0009752",
            "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 Jul 3, 2023; 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.