Active NPI
Marca Lynn Storey, MBA, MA, NCC, LPC, L
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1740233048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 341 Charndon Village Court
Charlotte, NC 28211-2683 - Phone
- (704) 542-7970
- Fax
- (704) 532-3312
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3405 | NC | |
| Professional Counselor | 101YP2500X | NC | Primary |
Addresses
Primary practice location
341 Charndon Village Court
Charlotte, NC 28211-2683
Mailing address
341 Charndon Village Court
Charlotte, NC 28211-2683
Phone (704) 542-7970
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
- Credentials
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3405 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1740233048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 CHARNDON VILLAGE COURT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112683",
"telephone_number": "704-542-7970",
"fax_number": "704-532-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 CHARNDON VILLAGE COURT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112683",
"telephone_number": "704-542-7970",
"fax_number": "704-532-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOREY",
"first_name": "MARCA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MBA, MA, NCC, LPC, L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3405",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.