Organization Active NPI

Mental Wellth Counseling Solutions

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1720828932
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Lantrianne Worden, LMHCNPI 1578519781
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20250811000036 NC Part B Supplier - Clinic/Group Practice 4284132135 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.