Individual provider Active NPI

Sabina Klein, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1770106163
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15210 Issued in NC
Practice address
700 East Blvd Ste 1
Charlotte, NC 28203-5156
Phone
(704) 980-3082
NPI assigned
May 20, 2020
Last updated
Mar 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15210 NC Primary

Addresses

Primary practice location

700 East Blvd Ste 1
Charlotte, NC 28203-5156

Mailing address

9807 McClendon CT
Matthews, NC 28105-5508
Phone (512) 590-1065

Other practice location 1

5700 Executive Center Dr Ste 100
Charlotte, NC 28212-8833
Phone (704) 207-0995

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triquetra Counseling, PLLC Mental Health CurrentSince Jun 2, 2024 Accepting new patients
Triquetra Counseling, PLLC Mental Health CurrentSince Mar 27, 2022 Accepting new patients
Caladrius Therapy, PLLC Mental Health CurrentSince May 22, 2022 Accepting new patients

Locations

3926 Miriam Dr
Charlotte, NC 28205
Phone (704) 476-1580

700 East Blvd
Ste 1
Charlotte, NC 28203
Phone (704) 980-3082

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1770106163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 MCCLENDON CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055508",
            "telephone_number": "512-590-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST BLVD STE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035156",
            "telephone_number": "704-980-3082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Executive Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128833",
            "country_code": "US",
            "telephone_number": "704-207-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SABINA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15210",
            "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 Mar 11, 2022; 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.