Ivy Counseling and Therapuetic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IVY COUNSELING AND THERAPUETIC SERVICES

Practice address

7013 Pawtuckett Rd
Charlotte, NC 28214-2232

Phone

(704) 231-8313

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Cynthia Michelle McKnightNPI 1861777856

Title

Co-Executive Director

Phone

(704) 231-8313

Specialties & licenses 1

Addresses

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.

• Cynthia Michelle McKnight, LPCA

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1861777856
  NPD (past) Authorized official

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1861744054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 ROSE POINT LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161990",
            "telephone_number": "704-231-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 PAWTUCKETT RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142232",
            "telephone_number": "704-231-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY COUNSELING AND THERAPUETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-231-8313",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ludmil Ivanov, MD
• Jasmine S Iverson, LCSW
• Amanda L. McDowell Ivey, MD
• Donella Rewschelle Ivey
• Lauren Ivey, LCAS
• Ivy Integrative LLC
• Adriana Q Ivy, DMD
• Debbie S Ivy
• Richard D Ivy, L.P.T.
• Ivyrehab North Carolina LLC

• 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 Oct 11, 2012; 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.