Organization Active NPI

Steppingstones Counseling & Consulting of Charlotte

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1841461944
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4290 Issued in NC
Legal business name
STEPPINGSTONES COUNSELING & CONSULTING OF CHARLOTTE
Practice address
10205 Foxhall Dr
Charlotte, NC 28210-7848
Phone
(704) 604-8023
Fax
(704) 335-4001
NPI assigned
Mar 17, 2008
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mrs. Leslie H Petruk, MA, LPC, NCC, BCC
Title
Director/Child & Family Therapist
Phone
(704) 604-8023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4290 NC Primary

Addresses

Primary practice location

10205 Foxhall Dr
Charlotte, NC 28210-7848

Mailing address

315 E Worthington Ave
Charlotte, NC 28203-4711
Phone (704) 604-8023

Other identifiers 1

IdentifierTypeStateIssuer
1386GOtherNCBC/BS

National Provider Directory

National Provider Directory

Locations

315 E Worthington Ave
Charlotte, NC 28203
Phone (704) 335-6100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1841461944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E WORTHINGTON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034711",
            "telephone_number": "704-604-8023",
            "fax_number": "704-335-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 FOXHALL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107848",
            "telephone_number": "704-604-8023",
            "fax_number": "704-335-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPINGSTONES COUNSELING & CONSULTING OF CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "PETRUK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR/CHILD & FAMILY THERAPIST",
        "authorized_official_telephone_number": "704-604-8023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC, BCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1386G",
            "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 Mar 14, 2013; 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.