Individual provider Active NPI

Lydia Alexandra Sauls, MA, NCC, LCMHCA

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1972236560
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17774 Issued in NC
Practice address
280 Concord Pkwy S Ste 100
Concord, NC 28027-2705
Phone
(980) 209-6328
NPI assigned
Jul 1, 2022
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17774 NC Primary

Addresses

Primary practice location

280 Concord Pkwy S Ste 100
Concord, NC 28027-2705

Mailing address

515 Georgetown Dr NW
Concord, NC 28027-6463
Phone (954) 816-2479

Other names 1

  • Ms. Lydia Alexandra Monteiro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A17774NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Atwell Counseling Mental Health CurrentSince Nov 10, 2024 Accepting new patients
Natalie Atwell Counseling, PC Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Life Enhancements Inc. Mental Health PastSince Jul 1, 2022 Accepting new patients
South Point Counseling, LLC Mental Health PastSince Jul 1, 2022 Accepting new patients

Locations

280 Concord Pkwy S
Ste 100
Concord, NC 28027
Phone (704) 560-9926

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1972236560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GEORGETOWN DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276463",
            "telephone_number": "954-816-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272705",
            "telephone_number": "980-209-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULS",
        "first_name": "LYDIA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "MONTEIRO",
            "middle_name": "ALEXANDRA",
            "prefix": "MS.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.