Active NPI
Steppingstones Counseling & Consulting of Charlotte
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1841461944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4290
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386G | Other | NC | BC/BS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1952427593
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.