KINTSUGI COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
NPI 1679114102
Social Worker - Clinical in Charlotte, NC

Active since October 07, 2019
322 LAMAR AVE STE 209, CHARLOTTE, NC 28204(704) 644-9613 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kintsugi Counseling Professional Limited Liability Company NPPES

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

KINTSUGI COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY (NPI 1679114102) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since October 2019. The organization lists Naomi De La Cruz Spencer, Owner Therapist, as its authorized official.

NPPES Registry Identity

NPI1679114102
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKINTSUGI COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
Location Address322 LAMAR AVE STE 209Charlotte, NC 28204-2436
Mailing Address1403 Eastcrest Dr Apt 202Charlotte, NC 28205-8277
Organization SubpartNo
Authorized OfficialNaomi De La Cruz SpencerOwner Therapist · (704) 644-9613
Enumeration DateOctober 7, 2019
NPI 1679114102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
322 LAMAR AVE STE 209, Charlotte, NC 28204

Other Identifiers 2

Other1962854505Npi For Private Insurance
Other1689191983Npi For Private Insurance

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
322 LAMAR AVE STE 209
CHARLOTTE, NC 28204
Counselor (Professional)
322 LAMAR AVE STE 209
CHARLOTTE, NC 28204
Social Worker (Clinical)
322 LAMAR AVE STE 209
CHARLOTTE, NC 28204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kintsugi Counseling Professional Limited Liability Company's NPI number?

The NPI number for Kintsugi Counseling Professional Limited Liability Company is 1679114102. It was assigned to this organization in the NPPES registry on October 7, 2019.

Where is Kintsugi Counseling Professional Limited Liability Company located?

Kintsugi Counseling Professional Limited Liability Company is located at 322 Lamar Ave Ste 209, Charlotte, NC 28204. The listed phone number is (704) 644-9613.

What is Kintsugi Counseling Professional Limited Liability Company's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kintsugi Counseling Professional Limited Liability Company accept?

Health plans from Blue Cross and Blue Shield of NC list Kintsugi Counseling Professional Limited Liability Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kintsugi Counseling Professional Limited Liability Company was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.