Clara Kennedy Witherspoon, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10314 Issued in SC

Practice address

7700 Irwin Rd
Charlotte, NC 28215-7417

Phone

(704) 264-4763

NPI assigned

Mar 26, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Clara Witherspoon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Witherspoon & Company LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1346055589
  NPD Authorized official
• God'S Production Ministries Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1417082603
  NPD (past) Authorized official

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1699577981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 IRWIN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157417",
            "telephone_number": "704-264-4763",
            "fax_number": "704-264-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 IRWIN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157417",
            "telephone_number": "704-264-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "CLARA",
        "middle_name": "KENNEDY",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "WITHERSPOON",
            "prefix": "MRS.",
            "credential": "CLARA WITHERSPOON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Albert Withers II, M.D.
• Paul Withers, MD
• Witherspoon & Company LLC
• Ashley Witherspoon
• Ayanna A Witherspoon
• Victor G Witherspoon II, PA-S
• Jerry Withrow
• Nicole Therese Withrow, RD
• Traci L. Withrow, LCSW
• Erin Witmer

• 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 Mar 26, 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.