Active NPI
Monique Pleasant, LPC, LCAS-A, CRC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1730577974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11189
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104276 | Other | NC | EMPLOYERS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11189 | NC | MD | Mental Health Counselor |
| 00117566 | NC | MD | Rehabilitation Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counterstep Counseling and Consulting, PLLC | Counselor | Current | 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.
-
- Professional Counselor
- Charlotte, NC
- NPI 1629612981
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1427428309
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.