Paul Maurice Ewing

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13979 Issued in NC

Practice address

10643 Kettering Dr
Ste 109
Charlotte, NC 28226

Phone

(704) 762-1361

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eagle Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1295424075
  NPD Authorized official
• Eagle Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Hill, SC
  • NPI 1083381297
  NPD Authorized official
• Bridges Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1306350012

  Mental Health

  NPD

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1740774736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 NANNYBERRY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259003",
            "telephone_number": "336-772-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10643 KETTERING DR",
            "address_2": "STE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-762-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "PAUL",
        "middle_name": "MAURICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13979",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13979",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Support Services, LLC
• Evolving to Independence
• Peter Jeffrey Ewert, PHD
• Eriyoma Ewharekuko, LCSWA
• Juliette Harris Ewing, BCBA
• Shaniya Ewing
• Kayanna Ewings
• Guerlande Exalien, COTA
• Excel Eyecare OD PA
• Exceptional in Home Care Providers Inc (Exceptional In Home Care Providers)

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.