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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SOUTHPARK PSYCHOTHERAPY PLLC
NPI 1679285043
Counselor - Mental Health in Charlotte, NC

Active since December 19, 2022
5950 FAIRVIEW RD STE 770, CHARLOTTE, NC 28210(980) 999-0501(980) 980-5841 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2026, Nov 10, 2024, Jul 31, 2024 and 3 more (6 updates tracked since 2022).

About Southpark Psychotherapy Pllc NPPES

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

SOUTHPARK PSYCHOTHERAPY PLLC (NPI 1679285043), doing business as Southpark Psychotherapy, is a healthcare organization registered as a mental health in Charlotte, North Carolina and active in the NPI registry since December 2022. The organization lists Sara Elizabeth Wilkerson, Counselor And Owner, as its authorized official.

NPPES Registry Identity

NPI1679285043
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUTHPARK PSYCHOTHERAPY PLLC
Location Address5950 FAIRVIEW RD STE 770Charlotte, NC 28210-3142
Mailing Address5950 Fairview Rd Ste 770Charlotte, NC 28210-3142 · (980) 999-0501 · Fax (980) 980-5841
Phone(980) 999-0501
Fax(980) 980-5841
Organization SubpartNo
Authorized OfficialSara Elizabeth WilkersonCounselor And Owner · (980) 999-0501
Enumeration DateDecember 19, 2022
Last NPPES UpdateJuly 15, 20266 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1679285043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5950 FAIRVIEW RD STE 770, Charlotte, NC 28210
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Other Names 1

Doing Business AsSouthpark Psychotherapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 9

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

LOUISA M PENKA
Counselor (Mental Health)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 457-7834
COURTNEY PURSER
Counselor
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 457-7834
GEOFFREY ALAN OMAN
Counselor (Professional)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (783) 445-7704
SARA WILKERSON LCMHC
Counselor (Mental Health)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (980) 999-0501
ASHLEY VICTORIA ETHERIDGE
Counselor (Mental Health)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 457-7834
ROZELLE GIPSON LCMHCA
Counselor (Mental Health)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 705-8507
MCKENZIE RENEE HOLMES
Counselor
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 457-7834
KARA RICKER
Counselor (Mental Health)
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210
Mecklenburg County (704) 457-7834

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 Southpark Psychotherapy PLLC's NPI number?

The NPI number for Southpark Psychotherapy PLLC is 1679285043. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is doing business as SouthPark Psychotherapy.

Where is Southpark Psychotherapy PLLC located?

Southpark Psychotherapy PLLC is located at 5950 Fairview Rd Ste 770, Charlotte, NC 28210. The listed phone number is (980) 999-0501.

What is Southpark Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Southpark Psychotherapy PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Southpark Psychotherapy PLLC 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 Southpark Psychotherapy PLLC was last updated on July 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.