Active NPI
Blakeney Counseling & Wellness LLC.
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Charlotte, NC
National Provider Identifier
1790389484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Legal business name
- BLAKENEY COUNSELING & WELLNESS LLC.
- Practice address
- 4401 E Independence Blvd Ste 208G
Charlotte, NC 28205-7485 - Phone
- (704) 201-8038
- NPI assigned
- Nov 24, 2020
- 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
- Ahmad Blakeney
- Title
- Owner
- Phone
- (704) 201-8038
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | Primary | ||
| Community Health Nurse Practitioner | 363LC1500X |
Addresses
Primary practice location
4401 E Independence Blvd Ste 208G
Charlotte, NC 28205-7485
Mailing address
4401 E Independence Blvd Ste 208G
Charlotte, NC 28205-7485
Phone (704) 201-8038
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1790389484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 E INDEPENDENCE BLVD STE 208G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057485",
"telephone_number": "704-201-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 E INDEPENDENCE BLVD STE 208G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057485",
"telephone_number": "704-201-8038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLAKENEY COUNSELING & WELLNESS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "BLAKENEY",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-201-8038"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.