Organization Active NPI

The Black Males Institute Or the Black Males Therapy Clinic

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1932017712
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE BLACK MALES INSTITUTE OR THE BLACK MALES THERAPY CLINIC
Practice address
1923 J N Pease PL Ste 104
Charlotte, NC 28262-4534
Phone
(980) 247-0693
NPI assigned
Aug 31, 2026
Organization subpart
Yes
Parent organization
PEBBLE ROCK BEHAVIORAL COUNSELING & CONSULTING GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Mr. Sean Washington, MA, LCMHC
Title
Principle Owner/Therapist
Phone
(980) 247-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1923 J N Pease PL Ste 104
Charlotte, NC 28262-4534

Mailing address

7717 Bridle CT
Charlotte, NC 28216-8730
Phone (980) 247-0693

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1932017712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 BRIDLE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168730",
            "telephone_number": "980-247-0693",
            "fax_number": "980-500-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624534",
            "telephone_number": "980-247-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLACK MALES INSTITUTE OR THE BLACK MALES THERAPY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEBBLE ROCK BEHAVIORAL COUNSELING & CONSULTING GROUP, PLLC",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRINCIPLE OWNER/THERAPIST",
        "authorized_official_telephone_number": "980-247-0693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.