Active NPI
Paul M Cherry, MA LMFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1891047759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1585
- Practice address
- 11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803 - Phone
- (704) 560-8706
- Fax
- (919) 746-7490
- NPI assigned
- Oct 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1585 | NC | Primary |
Addresses
Primary practice location
11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803
Mailing address
11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160HOOOOOX | Other | NC | INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1585 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corban Group Inc | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1891047759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11503 SIR FRANCIS DRAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11503 SIR FRANCIS DRAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775803",
"telephone_number": "704-560-8706",
"fax_number": "919-746-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MA LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "160HOOOOOX",
"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 Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.