Active NPI
Teal Peoples, Holistic Counseling & Consultation, PLLC
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1740579549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5869 | Medicaid | SC | |
| SW1056 | Medicaid | SC | |
| 6008501 | Medicaid | NC | |
| 6112081 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.