JESSIE BOYER LCMHCA - NPI 1104572569 - Counselor in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Jessie Boyer Lcmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE BOYER LCMHCA (NPI 1104572569) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A16999) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1104572569

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSIE BOYERCredential: LCMHCA

Location Address447 S SHARON AMITY RD STE 105Charlotte, NC 28211-2836

Mailing Address447 S Sharon Amity Rd Ste 105Charlotte, NC 28211-2836 · (980) 299-7436

Phone(980) 299-7436

Sole ProprietorNo

Enumeration DateFebruary 24, 2022

Last NPPES UpdateApril 25, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1104572569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A16999

447 S SHARON AMITY RD STE 105, Charlotte, NC 28211

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Other Names 1

Former Name (1)Jessie Pongetti

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NASIR TREVON GRAYMAN LCMHCA

Counselor (Mental Health)