Breathe Again Counseling Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BREATHE AGAIN COUNSELING CENTER

Practice address

17154 Sand Bank Rd
Charlotte, NC 28278-5024

Phone

(301) 542-4714

NPI assigned

Sep 8, 2025

Last updated

Sep 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shandra WilkersonNPI 1629582788

Title

Psychotherapist

Phone

(301) 542-4714

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Shandra Alexis Wilkerson

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1629582788

  Adult Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1730060864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17154 SAND BANK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282785024",
            "telephone_number": "301-542-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17154 SAND BANK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282785024",
            "telephone_number": "301-542-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE AGAIN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-542-4714"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bread of Life Youth & Family Services
• Breadwinners Management Solutions LLC
• Kathleen Marie Bready, LPC
• Break Every Chain Resource Center Inc
• Cristen Brearey
• Breathe Health & Wellness LLC (BH Diagnostics)
• Anna Brechon
• Angelina Breeden-Smith
• Keon Devonte Breeden, LCSWA
• Latoya Cowan Breeden, MED.CCC/SLP

• Adult Mental Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.