Active NPI
Cohesive Counseling Services, PLLC
- Professional Counselor
- Cornelius, NC
National Provider Identifier
1902048432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmella Dixon Crews, LCMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Cornelius, NC
- NPI 1740485242
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.