Active NPI
The Black Males Institute Or the Black Males Therapy Clinic
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1932017712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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.