Tonda Ellington Childers, MA; LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13665 Issued in NC

Practice address

140 Cabarrus Ave W Ste 19
Kannapolis, NC 28025-5150

Phone

(704) 956-7719

Fax

(704) 599-3826

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tonda.childers@west-counseling.direct.kno2fy.com

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.

• Rest Stop Therapy

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1992550149
  NPD Authorized official
• Ascend Psychological Services, PLLC

  • Psychologist
  • Rockwell, NC
  • NPI 1417370818

  Professional

  NPD (past)
• West Counseling

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1114271640

  Professional

  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1861909020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FLORIDA AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836705",
            "telephone_number": "704-956-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CABARRUS AVE W STE 19",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280255150",
            "telephone_number": "704-956-7719",
            "fax_number": "704-599-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "TONDA",
        "middle_name": "ELLINGTON",
        "credential": "MA; LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas R. Chicora, LCAS, LPC
• Donna Childress, MD
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• Ivette Dianelle Cintron-Cubero, FNP-C
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• Professional Counselor in Kannapolis, NC
• Providers in Kannapolis, 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 Apr 22, 2024; 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.