Organization Active NPI

Presbyterian Samaritan Counseling Center

Doing business as Presbyterian Psychological Services

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1871679464
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRESBYTERIAN SAMARITAN COUNSELING CENTER
Doing business as
Presbyterian Psychological Services
Practice address
5203 Sharon Rd
Charlotte, NC 28210-4721
Phone
(704) 554-9900
Fax
(704) 554-9956
NPI assigned
Oct 27, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Sharon Combs
Title
Business Manager
Phone
(704) 554-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5203 Sharon Rd
Charlotte, NC 28210-4721

Mailing address

5203 Sharon Rd
Charlotte, NC 28210-4721
Phone (704) 554-9900

Other names 1

  • Presbyterian Psychological Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828003849 NC Part B Supplier - Clinic/Group Practice 2264971779 Receives reassigned benefits from 8 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

5203 Sharon Rd
Charlotte, NC 28210
Phone (704) 554-9900

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1871679464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 SHARON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104721",
            "telephone_number": "704-554-9900",
            "fax_number": "704-554-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 SHARON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104721",
            "telephone_number": "704-554-9900",
            "fax_number": "704-554-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-554-9900"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.