Individual provider Active NPI

James H Nance, LPCA

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1841853124
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14538 Issued in NC
Practice address
5629 Davis Ridge Dr
Charlotte, NC 28269-5004
Phone
(704) 996-3226
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X A14538 NC Primary

Addresses

Primary practice location

5629 Davis Ridge Dr
Charlotte, NC 28269-5004

Mailing address

5629 Davis Ridge Dr
Charlotte, NC 28269-5004
Phone (704) 996-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002748 NC Practitioner - Mental Health Counselor 9436596228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soul Care, PLLCGroup PAC ID 8224329008, 5 clinicians

Practice addresses (Care Compare)

5501 Executive Ctr Dr
Suite 215
Charlotte, NC 28212-8823
Phone (980) 613-8312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A14538NCMDProfessional Counselor
14538NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Care, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

5501 Executive Center Dr
Ste 215
Charlotte, NC 28212
Phone (704) 237-0881

3695 Sunset Ave
Unit 8936
Rocky Mount, NC 27804

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1841853124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 DAVIS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695004",
            "telephone_number": "704-996-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 DAVIS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695004",
            "telephone_number": "704-996-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.