Individual provider Active NPI

Joseph Corey McIntosh, LCMHCA

  • Mental Health Counselor
  • Waxhaw, NC
National Provider Identifier
1902532815
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17604 Issued in NC
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

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003800 NC Practitioner - Mental Health Counselor 5092241893 Reassigns benefits to 1 organization

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
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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

LicenseStateTypeSpecialty
A17604NCMDMental Health Counselor
17604NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 6, 2024 Accepting new patients
Battle Mental Health, PLLC Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 6, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.