Cornelia Pringle, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11567 Issued in NC

Practice address

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654

Phone

(980) 819-6585

NPI assigned

Mar 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Atra Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1326533217

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Women in Need of Greater Support

  • Addiction (Substance Use Disorder) Counselor
  • Matthews, NC
  • NPI 1154466811
  NPD (past) Authorized official
• Professional Resources Enhancing Personal Success LLP

  • Early Intervention Provider Agency
  • Charlotte, NC
  • NPI 1629538350

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1992028914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 ASHLEY FARM DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054555",
            "telephone_number": "704-532-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 ALBEMARLE RD STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056654",
            "telephone_number": "980-819-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6035 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282126391",
            "country_code": "US",
            "telephone_number": "704-568-7072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10132 Ashley Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054555",
            "country_code": "US",
            "telephone_number": "704-532-1418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "CORNELIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "680",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11567",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Cheyenne Primo
• Sonya Medlin Primo, PTA
• Primus Therapy Services, PLLC
• Makenzy Prince
• Martez Lavard Prince, PHARM.D.
• Jessica Pringle
• Maya Pringle
• Polly Pringle, CRNA
• Precious Miceala Pringle, PHARMD
• Shelby Karen Pringle

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.