Active NPI
Jeremiah Hopes, LCMHCS
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1790980779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 13534 Plaza Road Ext
Charlotte, NC 28215-8921 - Phone
- (704) 724-9727
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Counselor | 101Y00000X | S5005 | NC |
Addresses
Primary practice location
13534 Plaza Road Ext
Charlotte, NC 28215-8921
Mailing address
12420 Oakton Hunt Dr
Charlotte, NC 28262-1525
Phone (704) 724-9727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103102 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1790980779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 OAKTON HUNT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621525",
"telephone_number": "704-724-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13534 PLAZA ROAD EXT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158921",
"telephone_number": "704-724-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPES",
"first_name": "JEREMIAH",
"name_prefix": "Mr.",
"credential": "LCMHCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "S5005",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103102",
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.