Soul Care, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL CARE, PLLC

Practice address

5501 Executive Center Dr Ste 215
Charlotte, NC 28212-8823

Phone

(980) 613-8312

Fax

(888) 972-4998

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Chantelle M. Johnson, MA, LCMHC-S, LCPCNPI 1841520590

Title

Clinical Director/Owner

Phone

(980) 613-8312

Specialties & licenses 8

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chantelle M. Johnson, MA, LPC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1841520590

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• James H Nance, LPCA

  • Professional Counselor
  • Charlotte, NC
  • NPI 1841853124
  Medicare reassignment Care Compare group NPD
• Janet Serita Oliver, LPC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1073707402
  Medicare reassignment Care Compare group NPD
• Anthony TC Redfearn, LMFT/LPC/LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1518303833

  Mental Health

  Medicare reassignment Care Compare group NPD
• Andrea Rose Corpus

  • Physician Assistant
  • Charlotte, NC
  • NPI 1184236226
  Medicare reassignment Care Compare group
• Jeffrey Helms, LCMHC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1700335650

  Mental Health

  Medicare reassignment NPD
• Nakina Narkay Scott, LPC-A

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1629616982
  Medicare reassignment NPD
• William Darrisaw, NCC, LPCA

  • Mental Health Counselor
  • Fort Mill, SC
  • NPI 1386015071

  NC

  Medicare reassignment NPD
• Letitia Mouzon

  • Social Worker
  • Charlotte, NC
  • NPI 1467809442

  Clinical

  NPD (past)
• Sadia Upright, MA, LPC

  • Professional Counselor
  • Mooresville, NC
  • NPI 1487181236
  NPD (past)
• Rachel Benkler, MSW, LCSW, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1396157632
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1821320334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 SUNSET AVE UNIT 8936",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040286",
            "telephone_number": "980-613-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 EXECUTIVE CENTER DR STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128823",
            "telephone_number": "980-613-8312",
            "fax_number": "888-972-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "980-613-8312",
        "authorized_official_credential": "MA, LCMHC-S, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7710",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soulcare@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "5501 Executive Center Dr Ste 215",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Surely Soto, BCBA
• Crystal Lynch Sottile, MS OTR/L
• Antoinette H. Souffrant, LCSW
• Edmire Flore Souffrant, MD
• Nishthaya Soukhanouvong, PSY.D
• Kelly Patricia Soule, LCSW-A
• Souled Out Reach Ministry (Clearview Therapy & Resource Hub)
• Soulful Solutions Counseling, PLLC
• Soulstice Counseling & Wellness, PLLC
• Soultry Seasonings (Mecklenburg Medical Transportation)

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.