Jon Pierre Baldwin Jr., LMFT

Individual provider Active NPI Marriage & Family Therapist · Charlotte, NC

NPI 1750134102 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1750134102
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
01119 (NC)
Practice address
10420 Park Rd Ste 100B
Charlotte, NC 28210-8478
Phone
(704) 817-0200
NPI assigned
Apr 8, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01119NCMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X 01119 NC Yes

Addresses

Primary practice location

10420 Park Rd Ste 100B
Charlotte, NC 28210-8478

Mailing address

10420 Park Rd Ste 100B
Charlotte, NC 28210-8478
Phone (704) 817-0200

Other providers in Charlotte, NC

All providers in Charlotte, NC · Marriage & Family Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.