Jeremy Massey, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11042 Issued in NC

Practice address

8801 J M Keynes Dr
Suite 440
Charlotte, NC 28262-8436

Phone

(704) 537-9551

NPI assigned

Oct 28, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Carolina Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1932720034

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1780089128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 MEADOW GLEN LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307486",
            "telephone_number": "803-616-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 J M KEYNES DR",
            "address_2": "SUITE 440",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628436",
            "telephone_number": "704-537-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 Majestic Ct Ste 6",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545152",
            "country_code": "US",
            "telephone_number": "704-674-7290",
            "fax_number": "704-396-6547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JEREMY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11042",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Ray Masonis, PHYSICAL THERAPIST
• Susan Foster Massengill, MD
• Carl Benjamin Massey Jr., DMD
• David K Massey, LCSW
• Denise Massey
• Jessica Massey, LCSW
• Leslie-Ann Massey, OT
• Loretta Massey, LCSW
• Marcus Massey, CPSS
• Sarah Jane Massey, FNP

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.