CHARLOTTE COUNSELING AND CONSULTING, PLLC
NPI 1467782177
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC

Q: What is Charlotte Counseling And Consulting, PLLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since December 31, 2009

1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262(704) 771-4633(980) 225-5555 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2021, Oct 15, 2021, Sep 21, 2021 and 3 more (6 updates tracked since 2018).

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About Charlotte Counseling And Consulting, Pllc NPPES

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

CHARLOTTE COUNSELING AND CONSULTING, PLLC (NPI 1467782177) is a healthcare organization registered as a community based residential treatment facility, mental illness in Charlotte, North Carolina and active in the NPI registry since December 2009. The organization lists Jamarr J Funderburg, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1467782177

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCHARLOTTE COUNSELING AND CONSULTING, PLLC

Location Address1905 J N PEASE PL STE 202Charlotte, NC 28262-4539

Mailing Address3602 Newchurch CirCharlotte, NC 28269-7702 · (704) 771-4633 · Fax (980) 225-5555

Phone(704) 771-4633

Fax(980) 225-5555

Organization SubpartNo

Authorized OfficialJamarr J FunderburgOwner/therapist · (704) 771-4633

Enumeration DateDecember 31, 2009

Last NPPES UpdateFebruary 26, 20246 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1467782177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1184 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C005599 (NC)

Also ListedBehavior AnalystTaxonomy 103K00000X · License C005599 (NC)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C005599 (NC)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License C005599 (NC)

Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X

1905 J N PEASE PL STE 202, Charlotte, NC 28262

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Other Identifiers 1

Medicaid6106615NC

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 5

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

DR. CARMEN DAVIS PH.D, LCMHCS, NCC

Counselor (Professional)