Active NPI
Noda Counseling Center Inc
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1770864001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- NODA COUNSELING CENTER INC
- Practice address
- 3568 N Davidson St
Charlotte, NC 28205-1125 - Phone
- (704) 231-6645
- NPI assigned
- Aug 31, 2011
- 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
- Regina Hope
- Title
- Vice President
- Phone
- (704) 231-6645
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
3568 N Davidson St
Charlotte, NC 28205-1125
Mailing address
3568 N Davidson St
Charlotte, NC 28205-1125
Phone (704) 231-6645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107232 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3568 N Davidson St
Charlotte, NC 28205
Phone (704) 231-6645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314748800000",
"number": "1770864001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3568 N DAVIDSON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051125",
"telephone_number": "704-231-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3568 N DAVIDSON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051125",
"telephone_number": "704-231-6645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NODA COUNSELING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A",
"authorized_official_last_name": "HOPE",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "704-231-6645"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107232",
"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 Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.