Organization Active NPI

Raising Resilience Counseling Services PLLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1912582677
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RAISING RESILIENCE COUNSELING SERVICES PLLC
Practice address
10130 Perimeter Pkwy Ste 200
Charlotte, NC 28216-0197
Phone
(980) 477-5289
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Tiffany Thompson, LCMHCNPI 1164811667
Title
Co-Owner
Phone
(980) 477-5289

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

10130 Perimeter Pkwy Ste 200
Charlotte, NC 28216-0197

Mailing address

PO Box 189044
Charlotte, NC 28218-9044
Phone (908) 477-5289

Other identifiers 2

IdentifierTypeStateIssuer
1164811667MedicaidNC
1487031696MedicaidNC

National Provider Directory

National Provider Directory

Locations

10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216
Phone (704) 212-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1912582677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189044",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282189044",
            "telephone_number": "908-477-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 PERIMETER PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160197",
            "telephone_number": "980-477-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISING RESILIENCE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "980-477-5289",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164811667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487031696",
            "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 Mar 15, 2021; 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.