Charis Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHARIS COUNSELING SERVICES, PLLC

Practice address

4000 Oleander Dr Ste 202a
Wilmington, NC 28403-6846

Phone

(910) 791-5171

Fax

(910) 791-5777

NPI assigned

Apr 10, 2026

Organization subpart

No

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

Authorized official

Name

Kim Kelley Longbottom, LCSWNPI 1417020173

Title

Owner

Phone

(910) 791-5171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim K Longbottom, LCSW, LCAS

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1417020173
  NPD Authorized official

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1962345306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLEANDER DR STE 202A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036846",
            "telephone_number": "910-791-5171",
            "fax_number": "910-791-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLEANDER DR STE 202A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036846",
            "telephone_number": "910-791-5171",
            "fax_number": "910-791-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "LONGBOTTOM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-5171",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Tides Counseling and Coaching Services
• Bruce Manning Chapman, D.P.M.
• Daniel Chapman, DDS
• Lisa Ann Chapman, RPH
• Katherine Marie Chappell, LCSWA
• Leon Charkoudian, MD
• Nicole Longanecker Charkoudian, MD
• Jessica Mary Chase, DO
• Timothy Lee Chase, MD
• Latricia Dail Chastain, NP-C

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.