CHARLOTTE COUNSELING AND CONSULTING, PLLC
NPI 1467782177
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
About CHARLOTTE COUNSELING AND CONSULTING, PLLC
This page provides the complete NPI Profile along with additional information for Charlotte Counseling And Consulting, Pllc, a provider established in Charlotte, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1467782177 assigned on December 2009. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jamarr J Funderburg Lcsw, Lcas, Ccs, (Owner/therapist)
- NPI
- 1467782177 Verify this NPI
- Provider Name
- CHARLOTTE COUNSELING AND CONSULTING, PLLC
- Entity Type
- Organization
- Location Address
- 1905 J N PEASE PL STE 202 CHARLOTTE, NC 28262
- Location Phone
- (704) 771-4633
- Location Fax
- (980) 225-5555
- Mailing Address
- 3602 NEWCHURCH CIR CHARLOTTE, NC 28269
- Mailing Phone
- (704) 771-4633
- Mailing Fax
- (980) 225-5555
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-31-2009
- Last Update Date
- 02-26-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 1184 (NC) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | C005599 (NC) |
| 3 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | C005599 (NC) |
| 4 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | C005599 (NC) |
| 5 | 251S00000X | Agencies | Community/Behavioral Health | C005599 (NC) |
| 6 | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106615 | MEDICAID (05) | NC |
Reviews for CHARLOTTE COUNSELING AND CONSULTING, PLLC
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467782177, enumerated as an "organization" on December 31, 2009.
The provider is located at 1905 J N PEASE PL STE 202 CHARLOTTE, NC 28262 and the phone number is (704) 771-4633.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.
