Organization Active NPI

Lake Norman Mind and Body Connection PLLC

  • Professional Counselor
  • Huntersville, NC
National Provider Identifier
1780282715
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LAKE NORMAN MIND AND BODY CONNECTION PLLC
Practice address
16507 Northcross Dr Ste C
Huntersville, NC 28078-5082
Phone
(704) 396-4287
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Amber S Pearce, MA, LCMHCNPI 1366630501
Title
Owner
Phone
(704) 396-4287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

16507 Northcross Dr Ste C
Huntersville, NC 28078-5082

Mailing address

16507 Northcross Dr Ste C
Huntersville, NC 28078-5082
Phone (704) 396-4287

National Provider Directory

National Provider Directory

Locations

14316 Reese Blvd W
#B872
Huntersville, NC 28078

16507 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 396-4287

9911 Rose Commons Dr
#E872
Huntersville, NC 28078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1780282715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-396-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-396-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN MIND AND BODY CONNECTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-396-4287",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.