Active NPI
Crimson Wellness LLC
- Mental Health Counselor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CRIMSON WELLNESS LLC
- Practice address
- 3126 Milton Rd Ste 230
Charlotte, NC 28215-3775 - Phone
- (910) 434-5325
- NPI assigned
- Apr 18, 2022
- Last updated
- May 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tahiyya Martin
- Title
- Member/Founder
- Phone
- (704) 288-6945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
3126 Milton Rd Ste 230
Charlotte, NC 28215-3775
Mailing address
8322 Carob Tree LN
Charlotte, NC 28215-7142
Phone (910) 434-5325
National Provider Directory
National Provider DirectoryLocations
3126 Milton Rd
Ste 230
Charlotte, NC 28215
Phone (910) 434-5325
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Mint Hill, NC
- NPI 1073909495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1710620620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8322 CAROB TREE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157142",
"telephone_number": "910-434-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 MILTON RD STE 230",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153775",
"telephone_number": "910-434-5325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRIMSON WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TAHIYYA",
"authorized_official_title_or_position": "MEMBER/FOUNDER",
"authorized_official_telephone_number": "704-288-6945"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"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 May 25, 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.