ONE:12 COUNSELING PLLC (NPI# 1184264178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184264178 |
| Entity Type | Organization |
| Organization Name | ONE:12 COUNSELING PLLC |
| Practice Address |
7751 Ballantyne Commons Pkwy Ste 102 Charlotte NC 28277-2442 |
| Practice Telephone | 7046266550 |
| Practice Fax Number | 7046266550 |
| Mailing Telephone | 7046266550 |
| Mailing Fax Number | 7046266550 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | KELLY TAYLOR (BUSINESS MANAGER) |
| Authorized Official Telephone | 7045027969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
7751 BALLANTYNE COMMONS PKWY STE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155503 | Timothy L Hagler | Counselor | 7751 Ballantyne Commons Pkwy Ste 102, Charlotte, NC 28277-2442 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1932712858 | Antoinette Thornton | Counselor | 2261 Milton Rd, Charlotte, NC 28215-3320 | 2020-08-29 |
| 1457974867 | Boniery Bell | Counselor | 13830 Firenza Cir Apt 202, Charlotte, NC 28273-4426 | 2020-05-20 |
| 1629616982 | Nakina Narkay Scott | Counselor | 5517 River Falls Dr, Charlotte, NC 28215-9674 | 2019-12-18 |
| 1629612981 | Counterstep Counseling and Consulting, Pllc | Counselor | 13534 Plaza Road Ext Ste 114, Charlotte, NC 28215-8921 | 2019-10-30 |
| 1821631193 | Ingrid C Gilbert | Counselor | 6903 Providence Ln W, Charlotte, NC 28226-7751 | 2019-10-19 |
| 1669013041 | Pivotal Health Solutions | Counselor | 15105d John J Delaney Dr Unit 186, Charlotte, NC 28277-2741 | 2019-10-07 |
| 1700447372 | Zachary Ryan Campbell | Counselor | 535 W 7th St Apt 2201, Charlotte, NC 28202-1636 | 2019-06-25 |
| 1366005902 | Mitchell Dwight Smtihbey | Counselor | 8122 Bald Ridge Dr, Charlotte, NC 28227-0316 | 2019-04-18 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.