TEEN HEALTH CONNECTION
NPI 1942539010
Counselor - Professional in Charlotte, NC

Active since December 18, 2009CLIA 34D1086341 · Microscopy
3541 RANDOLPH RD, STE 206, CHARLOTTE, NC 28211(704) 381-8336 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 39 more (42 updates tracked since 2016).

About Teen Health Connection NPPES

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

TEEN HEALTH CONNECTION (NPI 1942539010) is a healthcare organization registered as a professional in Charlotte, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Microscopy certificate valid through July 9, 2028 and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1942539010
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCAROLINAS MEDICAL CENTER
Location Address3541 RANDOLPH RD, STE 206Charlotte, NC 28211-1082
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateDecember 18, 2009
Last NPPES UpdateMarch 9, 202342 updates tracked since enumeration
✔ NPI 1942539010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
3541 RANDOLPH RD, Charlotte, NC 28211

Other Names 1

Doing Business AsTeen Health Connection

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teen Health Connection is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,215

Medicare enrollment records show 2,215 clinicians reassign Medicare billing to Teen Health Connection, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 1,403 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner499
Pediatric Medicine229
Emergency Medicine143
General Surgery133
Orthopedic Surgery130
Psychiatry128
Obstetrics/Gynecology101
Internal Medicine90
51 other specialties762

Nearest to this location (20)

See all 2,215
Clinical Social Worker
NPI 1245558576
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Nurse Practitioner
NPI 1598261703
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1669639522
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Nurse Practitioner
NPI 1659736239
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Clinical Social Worker
NPI 1629245220
3541 RANDOLPH RD
Charlotte, NC 28211
(803) 381-8336
✔ PECOSSame address
Clinical Psychologist
NPI 1437318292
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Clinical Psychologist
NPI 1659664183
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Pediatric Medicine
NPI 1316159528
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Pediatric Medicine
NPI 1689934952
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Clinical Psychologist
NPI 1003187410
3541 RANDOLPH RD STE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Pediatric Medicine
NPI 1669405254
3541 RANDOLPH RD SUITE 206
Charlotte, NC 28211
(704) 381-8336
✔ PECOSSame address
Internal Medicine
NPI 1598783961
300 BILLINGSLEY RD STE 200
Charlotte, NC 28211
(704) 372-7974
✔ PECOS0.1 mi
Gastroenterology
NPI 1548288921
300 BILLINGSLEY RD STE 200
Charlotte, NC 28211
(704) 372-7974
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1518420710
330 BILLINGSLEY RD STE 102
Charlotte, NC 28211
(704) 444-2574
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1558399691
411 BILLINGSLEY RD STE 103
Charlotte, NC 28211
(704) 577-3186
✔ PECOS✔ Accepts Medicare0.3 mi
Infectious Disease
NPI 1801271556
447 BILLINGSLEY RD COTTAGE A
Charlotte, NC 28211
(704) 444-2400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1649677030
501 BILLINGSLEY RD COTTAGE B
Charlotte, NC 28211
(704) 444-5881
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1255898912
501 BILLINGSLEY RD STE B
Charlotte, NC 28211
(704) 444-2400
✔ PECOS0.4 mi
Mental Health Counselor
NPI 1275044745
501 BILLINGSLEY RD STE B
Charlotte, NC 28211
(704) 444-2400
✔ PECOS0.4 mi
Lcmhc
NPI 1710535984
501 BILLINGSLEY RD STE B
Charlotte, NC 28211
(704) 444-2400
✔ PECOS0.4 mi
See all 2,215 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1086341

Teen Health Connection · Charlotte, NC
Active · expires Jul 9, 2028
CLIA Number34D1086341
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorVirella S. Dixon
Laboratory Phone(704) 381-8336
Laboratory LocationTeen Health Connection3541 Randolph Road, Suite 206, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Carolinas Medical Center's NPI number?

The NPI number for Carolinas Medical Center is 1942539010. It was assigned to this organization in the NPPES registry on December 18, 2009. The provider is doing business as Teen Health Connection.

Where is Carolinas Medical Center located?

Carolinas Medical Center is located at 3541 Randolph Rd Ste 206, Charlotte, NC 28211. The listed phone number is (704) 381-8336.

What is Carolinas Medical Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carolinas Medical Center enrolled in Medicare?

Yes. Carolinas Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolinas Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,215 clinicians in 59 Medicare specialties reassign their Medicare billing to Carolinas Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (499), Pediatric Medicine (229) and Emergency Medicine (143). Of these, 11 practice at this address and 1,403 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolinas Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1086341) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolinas Medical Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Carolinas Medical Center 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 Carolinas Medical Center was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.