NPIMap

Organization Active NPI

P&G Clinical Services PLLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1871851113
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
P&G CLINICAL SERVICES PLLC
Practice address
8201 Arrowridge Blvd Ste 150
Charlotte, NC 28273-5874
Phone
(704) 408-8489
Fax
(855) 532-2779
NPI assigned
Apr 24, 2012
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Loredana Pampinella, PHD(C), LPC, LCAS-ANPI 1134553639
Title
Ceo/LPC
Phone
(704) 408-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

8201 Arrowridge Blvd Ste 150
Charlotte, NC 28273-5874

Mailing address

8201 Arrowridge Blvd Ste 150
Charlotte, NC 28273-5874
Phone (704) 408-8489

Other identifiers 1

IdentifierTypeStateIssuer
00536787MedicaidNC

National Provider Directory

National Provider Directory

Locations

5700 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 408-8489

8201 Arrowridge Blvd
Ste 148
Charlotte, NC 28273
Phone (704) 207-0995

8201 Arrowridge Blvd
Ste 150
Charlotte, NC 28273
Phone (704) 408-8489

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1871851113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735874",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735874",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "PAMPINELLA",
        "authorized_official_first_name": "LOREDANA",
        "authorized_official_title_or_position": "CEO/LPC",
        "authorized_official_telephone_number": "704-408-8489",
        "authorized_official_credential": "PHD(C), LPC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536787",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2021; 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.