Individual provider Active NPI

Maureen D Deutsch, LPC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1730103458
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC-7626 Issued in FL
Practice address
6631 Santa Cruz TRL Ste 218
Charlotte, NC 28227-8046
Phone
(704) 414-0963
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC-7626 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADAC 2090 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X FCB 5489 FL
Mental Health Counselor 101YM0800X MH7626 FL
Mental Health Counselor 101YM0800X RLPC 15113 AZ

Addresses

Primary practice location

6631 Santa Cruz TRL Ste 218
Charlotte, NC 28227-8046

Mailing address

6631 Santa Cruz TRL Ste 218
Charlotte, NC 28227-8046
Phone (704) 414-0963

Other identifiers 1

IdentifierTypeStateIssuer
Z086MOtherFLBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CADAC 2090AZMDAddiction (Substance Use Disorder) Counselor
FCB 5489FLMDAddiction (Substance Use Disorder) Counselor
RLPC 15113AZMDMental Health Counselor
LMHC-7626FLMDMental Health Counselor
MH7626FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1730103458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 SANTA CRUZ TRL STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278046",
            "telephone_number": "704-414-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 SANTA CRUZ TRL STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278046",
            "telephone_number": "704-414-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "MAUREEN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC-7626",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "CADAC 2090",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "FCB 5489",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7626",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "RLPC 15113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "Z086M",
            "state": "FL"
        }
    ],
    "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 May 25, 2018; 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.