Organization Active NPI

Cohesive Counseling Services, PLLC

  • Professional Counselor
  • Cornelius, NC
National Provider Identifier
1902048432
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4629 Issued in NC
Legal business name
COHESIVE COUNSELING SERVICES, PLLC
Practice address
17824 Statesville Rd Ste 123
Cornelius, NC 28031-6101
Phone
(704) 951-4053
Fax
(267) 427-8628
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mrs. Carmella Dixon Crews, LCMHCNPI 1740485242
Title
Owner
Phone
(704) 951-4053

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4629 NC Primary

Addresses

Primary practice location

17824 Statesville Rd Ste 123
Cornelius, NC 28031-6101

Mailing address

PO Box 142
Mt Holly, NC 28120-0142
Phone (704) 951-4053

National Provider Directory

National Provider Directory

Locations

17824 Statesville Rd
Ste 123
Cornelius, NC 28031
Phone (704) 951-4053

625 E 2nd Ave
Ste 9
Gastonia, NC 28054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1902048432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281200142",
            "telephone_number": "704-951-4053",
            "fax_number": "267-427-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17824 STATESVILLE RD STE 123",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316101",
            "telephone_number": "704-951-4053",
            "fax_number": "267-427-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHESIVE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CARMELLA",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-951-4053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.