IMMERSE & EMERGE COUNSELING (NPI# 1194348557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194348557 |
| Entity Type | Organization |
| Organization Name | IMMERSE & EMERGE COUNSELING |
| Practice Address |
10617 Kettering Dr Ste 113 Charlotte NC 28226-4900 |
| Mailing Address |
2413 Hawthorne Rd Lynchburg VA 24503-2905 |
| Practice Telephone | 8669779067 |
| Practice Fax Number | 8669779159 |
| Mailing Telephone | 4346605848 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | JESSICA PALACIOS (OWNER) |
| Authorized Official Telephone | 4346605848 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
10617 KETTERING DR STE 113 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| 1073155503 | Timothy L Hagler | Counselor | 7751 Ballantyne Commons Pkwy Ste 102, Charlotte, NC 28277-2442 | 2019-10-16 |
| 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.