Individual provider Active NPI

Charlotte Marie Eagle, LCMHCS

  • Professional Counselor
  • Lexington, NC
National Provider Identifier
1720488117
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S10691 Issued in NC
Practice address
1303 Greensboro Street Ext
Lexington, NC 27295-1924
Phone
(363) 780-7359
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X S10691 NC Primary

Addresses

Primary practice location

1303 Greensboro Street Ext
Lexington, NC 27295-1924

Mailing address

18177 W Catawba Ave
Cornelius, NC 27295-1924
Phone (704) 750-2539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000966 NC Practitioner - Mental Health Counselor 2567986169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of North Carolina PLLCGroup PAC ID 2567801020, 12 clinicians

Practice addresses (Care Compare)

136 Fairview Rd
Suite 125
Mooresville, NC 28117-8547
Phone (704) 317-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10691NCMDProfessional Counselor
10691NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of North Carolina, PLLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

6015 Fayetteville Rd
Ste 113
Durham, NC 27713
Phone (919) 794-4487

136 Fairview Rd
Ste 125
Mooresville, NC 28117
Phone (704) 317-5929

Interoperability endpoints

  • Direct secure messaging: charlotte.eure.1@25899.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1720488117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18177 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "272951924",
            "telephone_number": "704-750-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951924",
            "telephone_number": "363-780-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S10691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.