NPIMap

Organization Active NPI

Insightful Options

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1720255680
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6691 Issued in NC
Legal business name
INSIGHTFUL OPTIONS
Practice address
1409 East Blvd
Suite 6B
Charlotte, NC 28203-5817
Phone
(704) 340-4666
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Authorized official

Name
Ms. Latasha Shawntay McIlwaine, MA, MHA, LPC, LCASNPI 1063631331
Title
Owner/ Therapist
Phone
(704) 340-4666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6691 NC Primary
Community/Behavioral Health Agency 251S00000X 1296 NC

Addresses

Primary practice location

1409 East Blvd
Suite 6B
Charlotte, NC 28203-5817

Mailing address

PO Box 743
Paw Creek, NC 28130-0743
Phone (704) 340-4666

Other identifiers 2

IdentifierTypeStateIssuer
6103719MedicaidNC
6006425MedicaidNC

National Provider Directory

National Provider Directory

Locations

1409 East Blvd
Ste 6B
Charlotte, NC 28203
Phone (704) 340-4666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1720255680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "PAW CREEK",
            "state": "NC",
            "postal_code": "281300743",
            "telephone_number": "704-340-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 EAST BLVD",
            "address_2": "SUITE 6B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035817",
            "telephone_number": "704-340-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHTFUL OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "MCILWAINE",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "SHAWNTAY",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "704-340-4666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MHA, LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6691",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103719",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006425",
            "state": "NC"
        }
    ],
    "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 Mar 28, 2009; 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.