Individual provider Active NPI

Monique Pleasant, LPC, LCAS-A, CRC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1730577974
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11189 Issued in NC
Practice address
5624 Executive Center Dr Ste 105
Charlotte, NC 28212-8868
Phone
(980) 224-8060
Fax
(704) 379-1914
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11189 NC
Rehabilitation Counselor 225C00000X 00117566 NC
Mental Health Counselor 101YM0800X 11189 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21561 NC
Counselor 101Y00000X 11189 NC

Addresses

Primary practice location

5624 Executive Center Dr Ste 105
Charlotte, NC 28212-8868

Mailing address

PO Box 1352
Harrisburg, NC 28075-1352
Phone (704) 299-5286

Other practice location 1

44381 Nc 740 Hwy
New London, NC 28127-9618
Phone (704) 422-5964

Other practice location 2

13534 Plaza Road Ext Ste 114
Charlotte, NC 28215-8921
Phone (704) 299-5286

Other identifiers 1

IdentifierTypeStateIssuer
6104276OtherNCEMPLOYERS MEDICIAD NUMBER

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
11189NCMDMental Health Counselor
00117566NCMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counterstep Counseling and Consulting, PLLC Counselor CurrentSince Nov 3, 2019 Accepting new patients
Creative Counseling and Learning Solutions, PLLC Past Accepting new patients

Locations

13534 Plaza Road Ext
Ste 114
Charlotte, NC 28215
Phone (704) 299-5286

Organizations & group practices 2

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1730577974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1352",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280751352",
            "telephone_number": "704-299-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 EXECUTIVE CENTER DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128868",
            "telephone_number": "980-224-8060",
            "fax_number": "704-379-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44381 Nc 740 Hwy",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NC",
            "postal_code": "281279618",
            "country_code": "US",
            "telephone_number": "704-422-5964",
            "fax_number": "704-422-5041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13534 Plaza Road Ext Ste 114",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282158921",
            "country_code": "US",
            "telephone_number": "704-299-5286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEASANT",
        "first_name": "MONIQUE",
        "credential": "LPC, LCAS-A, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11189",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NC",
            "license": "00117566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11189",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21561",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "11189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYERS MEDICIAD NUMBER",
            "identifier": "6104276",
            "state": "NC"
        }
    ],
    "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 Nov 7, 2019; 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.