Active NPI
Faith Drew, PH.D, LMFT, CEAP
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1992916670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1274
- Practice address
- 4805 Park Rd Ste 250
Charlotte, NC 28209-3812 - Phone
- (704) 776-2464
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1274 | NC | Primary |
| Professional Counselor | 101YP2500X | 60786 | TX | |
| Marriage & Family Therapist | 106H00000X | 200863 | TX |
Addresses
Primary practice location
4805 Park Rd Ste 250
Charlotte, NC 28209-3812
Mailing address
4805 Park Rd Ste 250
Charlotte, NC 28209-3812
Phone (704) 776-2464
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200863 | TX | MD | Marriage & Family Therapist |
| 60786 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1274 | NC | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1992916670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 PARK RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093812",
"telephone_number": "704-776-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 PARK RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093812",
"telephone_number": "704-776-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "FAITH",
"name_prefix": "Dr.",
"credential": "PH.D, LMFT, CEAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1274",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60786",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "200863",
"primary": false
}
],
"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 Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.