The Stone Center for Counseling & Leadership

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4290 Issued in NC

Legal business name

THE STONE CENTER FOR COUNSELING & LEADERSHIP

Practice address

1821 Cumberland Ave
Charlotte, NC 28203-6112

Phone

(704) 665-0065

Fax

(704) 335-4001

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Leslie Petruk, LPC, NCC, BCCNPI 1336604842

Title

Director

Phone

(704) 665-0065

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Leslie H Petruk Ma LPC NCC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leslie H Petruk Ma LPC NCC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1417061466
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Leslie H Petruk Ma LPC NCC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1417061466
  NPPES parent name

Practitioners 3

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

• Leslie H Petruk, LPC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1336604842
  NPD (past) Authorized official
• Kathryn Lee Tinney Burnett, MA, LPCA

  • Professional Counselor
  • Charlotte, NC
  • NPI 1457788416
  NPD (past)
• Debra L Little

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1255919247
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1821330630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 CUMBERLAND AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036112",
            "telephone_number": "704-665-0065",
            "fax_number": "704-335-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CUMBERLAND AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036112",
            "telephone_number": "704-665-0065",
            "fax_number": "704-335-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STONE CENTER FOR COUNSELING & LEADERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PETRUK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-665-0065",
        "authorized_official_credential": "LPC, NCC, BCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1386G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.