Active NPI
Joseph Corey McIntosh, LCMHCA
- Mental Health Counselor
- Waxhaw, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A17604
- Practice address
- 9929 Rea Rd Ste 201
Waxhaw, NC 28173-6439 - Phone
- (704) 316-1650
- Fax
- (704) 316-1651
- NPI assigned
- Jul 25, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A17604 | NC | Primary |
Addresses
Primary practice location
9929 Rea Rd Ste 201
Waxhaw, NC 28173-6439
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
8311 Brier Creek Pkwy Ste 105-167
Raleigh, NC 27617-7328
Phone (919) 713-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17604 | NC | MD | Mental Health Counselor |
| 17604 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Battle Mental Health, PLLC | Mental Health | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
8311 Brier Creek Pkwy
Ste 105167
Raleigh, NC 27617
Phone (919) 713-3102
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
9929 Rea Rd
Ste 201
Waxhaw, NC 28173
Phone (704) 316-1650
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jmcintosh1151190@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1669084406
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Psychiatry Physician
- Huntersville, NC
- NPI 1588387211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1902532815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9929 REA RD STE 201",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736439",
"telephone_number": "704-316-1650",
"fax_number": "704-316-1651"
}
],
"practiceLocations": [
{
"address_1": "8311 Brier Creek Pkwy Ste 105-167",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276177328",
"country_code": "US",
"telephone_number": "919-713-3102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTOSH",
"first_name": "JOSEPH",
"middle_name": "COREY",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-25",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.