Sylvia Diane Jessup, LPCA, LMFTA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10031A Issued in NC

Practice address

5437 McChesney Dr
Charlotte, NC 28269-7187

Phone

(704) 572-1188

Fax

(704) 948-6254

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Sylvia Diane Slaughter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1780089466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13016 EASTFIELD RD",
            "address_2": "SUITE 200-217",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786622",
            "telephone_number": "701-572-1188",
            "fax_number": "704-948-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 MCCHESNEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697187",
            "telephone_number": "704-572-1188",
            "fax_number": "704-948-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "SYLVIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPCA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10031A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "10020A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "SLAUGHTER",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alex Paul Jessmore, DO
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• Shevonna Jett, LCMHC, LCAS, CSS-I
• Lauren Loving Hix Jetton, D.C.

• 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 Oct 24, 2014; 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.