Organization Active NPI

Christian Focus Counseling Service

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1811040264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-060-257 Issued in NC
Legal business name
CHRISTIAN FOCUS COUNSELING SERVICE
Practice address
4401 E Independence Blvd
Suite 207
Charlotte, NC 28205-7485
Phone
(704) 563-9908
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Winston Lassiter
Title
Excutive Director
Phone
(704) 563-9908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-060-257 NC Primary

Addresses

Primary practice location

4401 E Independence Blvd
Suite 207
Charlotte, NC 28205-7485

Mailing address

PO Box 189107
Charlotte, NC 28218-9107
Phone (704) 563-9908

Other identifiers 1

IdentifierTypeStateIssuer
6005409MedicaidNC

National Provider Directory

National Provider Directory

Locations

4401 E Independence Blvd
Ste 207
Charlotte, NC 28205
Phone (704) 563-9908

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811040264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282189107",
            "telephone_number": "704-563-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E INDEPENDENCE BLVD",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057485",
            "telephone_number": "704-563-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FOCUS COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-563-9908"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-060-257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005409",
            "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 Aug 22, 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.

Verify at the official NPI Registry.