Active NPI
Trauma Therapy of the Carolinas LLC
Doing business as Trauma Therapy of the Carolinas
- Mental Health Counselor
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10758
- Legal business name
- TRAUMA THERAPY OF THE CAROLINAS LLC
- Doing business as
- Trauma Therapy of the Carolinas
- Practice address
- 9723 Northcross Center CT Ste L
Huntersville, NC 28078-7301 - Phone
- (704) 962-1924
- NPI assigned
- Dec 14, 2017
- Last updated
- Jul 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iris Esther Whitlock, LPC
- Title
- Owner
- Phone
- (704) 962-1924
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10758 | NC | Primary |
Addresses
Primary practice location
9723 Northcross Center CT Ste L
Huntersville, NC 28078-7301
Mailing address
13717 Cinnabar PL
Huntersville, NC 28078-5342
Phone (704) 962-1924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10758 | Other | NC | NC BOARD OF LPC |
Other names 1
- Trauma Therapy of the Carolinas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8207 Village Harbor Dr
Cornelius, NC 28031
9723 Northcross Center Ct
Ste L
Huntersville, NC 28078
Phone (704) 948-5009
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Mental Health Counselor
- Huntersville, NC
- NPI 1659785319
-
- Mental Health Counselor
- Fort Mill, SC
- NPI 1831064914
-
- Mental Health Counselor
- Rock Hill, SC
- NPI 1437826674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720224000000",
"number": "1942716808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13717 CINNABAR PL",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785342",
"telephone_number": "704-962-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9723 NORTHCROSS CENTER CT STE L",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787301",
"telephone_number": "704-962-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAUMA THERAPY OF THE CAROLINAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A",
"authorized_official_last_name": "WHITLOCK",
"authorized_official_first_name": "IRIS",
"authorized_official_middle_name": "ESTHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-962-1924",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF LPC",
"identifier": "10758",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trauma Therapy of the Carolinas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trauma Therapy of the Carolinas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.