Charity Matlock, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14509 Issued in NC

Practice address

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544

Phone

(704) 360-3637

NPI assigned

Jan 27, 2019

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

Other names 1

• Charity Elizabeth Mae Matlock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Asheli Thompson

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1073955621
  NPD (past)

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1861956567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4962",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174962",
            "telephone_number": "704-360-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Summit Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542192",
            "country_code": "US",
            "telephone_number": "704-854-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "CHARITY",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "MATLOCK",
            "middle_name": "ELIZABETH MAE",
            "credential": "LCMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Leigh Matas
• Kevin Mateer
• Bruce S Mather, M.D.
• Megan Lane Mathis-Webb, AUD
• Sarah Marie Mathis
• Matters of the Heart at Companion Care LLC
• Matthew Cook of North Carolina, PLLC
• Lauren Brooke Taylor Mauney, WHNP
• May & Associates Therapy Center, LLC
• Marisa Isabelle May, MA

• Mental Health Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.