Charlotte Counseling and Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHARLOTTE COUNSELING AND WELLNESS, PLLC

Practice address

2300 E 7TH St Ste 201
Charlotte, NC 28204-3314

Phone

(704) 774-3058

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jesse RobertsNPI 1164910535

Title

Owner

Phone

(828) 447-5180

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Elijah Roberts, MA, ED.S, NCC, LPCA

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1164910535
  NPD Authorized official
• Mariya Valeryevna Koval-Guffey, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1164303285
  NPD
• Elizabeth Veach Malak

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1003582875
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1699416735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 7TH ST STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043314",
            "telephone_number": "828-447-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 7TH ST STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043314",
            "telephone_number": "704-774-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-447-5180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse@charlottecounselingandwellness.com",
            "affiliation": "N",
            "address_1": "2300 E 7th St Ste 201",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlotte Community Health Clinic, Inc.
• Charlotte Community Health Clinic, Inc.
• Charlotte Counseling and Consulting, PLLC
• Charlotte Counseling and Consulting, PLLC
• Charlotte Counseling and Wellness Center, PLLC
• Charlotte Counseling Associates, PLLC
• Charlotte Counseling Group
• Charlotte Dermatology PA
• Charlotte Dermatopathology, Inc
• Charlotte Detox Center, LLC

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.