Individual provider Active NPI

Chandra Cummings, LPC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1710317185
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCMHC-17320 Issued in NC
Practice address
9103 Tiffany Crest CT
Charlotte, NC 28227-6695
Phone
(602) 410-4325
NPI assigned
Nov 20, 2013
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-2021045859 MO
Professional Counselor 101YP2500X LPC-0701006840 VA
Professional Counselor 101YP2500X LPC-14130 AZ
Professional Counselor 101YP2500X LCMHC-17320 NC Primary

Addresses

Primary practice location

9103 Tiffany Crest CT
Charlotte, NC 28227-6695

Mailing address

9103 Tiffany Crest CT
Charlotte, NC 28227-6695
Phone (602) 410-4325

Other practice location 1

17242 S Healthcare Dr
Laveen, AZ 85339-8501
Phone (520) 796-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-14130AZMDProfessional Counselor
LPC-2021045859MOMDProfessional Counselor
LCMHC-17320NCMDProfessional Counselor
LPC-0701006840VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1710317185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 TIFFANY CREST CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276695",
            "telephone_number": "602-410-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 TIFFANY CREST CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276695",
            "telephone_number": "602-410-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17242 S Healthcare Dr",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853398501",
            "country_code": "US",
            "telephone_number": "520-796-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "CHANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "LPC-2021045859",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "LPC-0701006840",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-14130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LCMHC-17320",
            "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 Aug 11, 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.