Active NPI
Chandra Cummings, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1710317185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCMHC-17320
- Practice address
- 9103 Tiffany Crest CT
Charlotte, NC 28227-6695 - Phone
- (602) 410-4325
- NPI assigned
- Nov 20, 2013
- Last updated
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-14130 | AZ | MD | Professional Counselor |
| LPC-2021045859 | MO | MD | Professional Counselor |
| LCMHC-17320 | NC | MD | Professional Counselor |
| LPC-0701006840 | VA | MD | Professional 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.