Active NPI
Nimisha Merchant, LCMHCA
- Mental Health Counselor
- Davidson, NC
National Provider Identifier
1730817552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A18029
- Practice address
- 903 Northeast Dr Ste 201
Davidson, NC 28036-7438 - Phone
- (704) 896-7776
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A18029 | NC | Primary |
Addresses
Primary practice location
903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Mailing address
2120 N Brevard St Apt 339
Charlotte, NC 28206-3647
Phone (919) 452-1540
Other practice location 1
2120 N Brevard St Apt 339
Charlotte, NC 28206-3647
Phone (919) 452-1540
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 |
|---|---|---|---|
| A18029 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Center for Self Discovery | Past | Accepting new patients | |
| Meegan Tiffany Counseling PLLC | Mental Health | Past | Accepting new patients |
| Southlake Counseling & Consulting | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1821606757
-
- Clinical Social Worker
- Davidson, NC
- NPI 1366656910
-
- Clinical Social Worker
- Davidson, NC
- NPI 1194864975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1730817552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 N BREVARD ST APT 339",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282063647",
"telephone_number": "919-452-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 NORTHEAST DR STE 201",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280367438",
"telephone_number": "704-896-7776"
}
],
"practiceLocations": [
{
"address_1": "2120 N Brevard St Apt 339",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282063647",
"country_code": "US",
"telephone_number": "919-452-1540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCHANT",
"first_name": "NIMISHA",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A18029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.