Organization Active NPI

Teal Peoples, Holistic Counseling & Consultation, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1740579549
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TEAL PEOPLES, HOLISTIC COUNSELING & CONSULTATION, PLLC
Practice address
2750 E WT Harris Blvd
Suite 201
Charlotte, NC 28213-4285
Phone
(888) 502-9591
Fax
(888) 502-9591
NPI assigned
Apr 1, 2011
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Teal Venice Peoples, LCSW, LCAS, CSI LISW
Title
Clinical Director/Owner
Phone
(704) 449-9666

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1429 NC
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X C006557 NC

Addresses

Primary practice location

2750 E WT Harris Blvd
Suite 201
Charlotte, NC 28213-4285

Mailing address

5909 Edinborough Dr
Charlotte, NC 28216-2254
Phone (888) 502-9591

Other identifiers 4

IdentifierTypeStateIssuer
GP5869MedicaidSC
SW1056MedicaidSC
6008501MedicaidNC
6112081MedicaidNC

National Provider Directory

National Provider Directory

Locations

2750 E Wt Harris Blvd
Ste 201
Charlotte, NC 28213
Phone (888) 502-9591

5736 N Tryon St
Ste 132
Charlotte, NC 28213
Phone (888) 502-9591

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1740579549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 EDINBOROUGH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162254",
            "telephone_number": "888-502-9591",
            "fax_number": "888-502-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134285",
            "telephone_number": "888-502-9591",
            "fax_number": "888-502-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL PEOPLES, HOLISTIC COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "TEAL",
        "authorized_official_middle_name": "VENICE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "704-449-9666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAS, CSI LISW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1429",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C006557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5869",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1056",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008501",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112081",
            "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 Jan 13, 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.

Verify at the official NPI Registry.