Active NPI
Mental Wellth Counseling Solutions
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1720828932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MENTAL WELLTH COUNSELING SOLUTIONS
- Practice address
- 1235 East Blvd Ste E
Charlotte, NC 28203-5876 - Phone
- (980) 477-5005
- NPI assigned
- May 28, 2024
- 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
- Lantrianne Worden, LMHC
- Title
- Owner
- Phone
- (980) 477-5005
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1235 East Blvd Ste E
Charlotte, NC 28203-5876
Mailing address
1610 Hudson Graham LN
Charlotte, NC 28216-1009
Phone (980) 477-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250811000036 | NC | Part B Supplier - Clinic/Group Practice | 4284132135 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Charlotte, NC
- NPI 1578519781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1720828932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 HUDSON GRAHAM LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282161009",
"telephone_number": "980-477-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 EAST BLVD STE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035876",
"telephone_number": "980-477-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL WELLTH COUNSELING SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2024-06-20",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "WORDEN",
"authorized_official_first_name": "LANTRIANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-477-5005",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.