COTWSOLD CLINICIAN SUPPORT SERVICES (NPI# 1063893568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063893568 |
| Entity Type | Organization |
| Organization Name | COTWSOLD CLINICIAN SUPPORT SERVICES |
| Practice Address |
447 S Sharon Amity Rd Suite 250 Charlotte NC 28211-2836 |
| Practice Telephone | 7045070387 |
| Mailing Telephone | 7045070387 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MS. KIMBERLY ELDRIDGE MATONE (OWNER) |
| Authorized Official Telephone | 7045070387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
447 S SHARON AMITY RD SUITE 250 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644561 | Franklin Marcus Dunn | Chiropractor | 447 S Sharon Amity Rd, Suite 210, Charlotte, NC 28211-2836 | 2006-01-18 |
| 1063020840 | Maxine Valencia | Social Worker | 447 S Sharon Amity Rd, Charlotte, NC 28211-2836 | 2020-07-17 |
| 1467930727 | Chelsea Matson | Counselor | 447 S Sharon Amity Rd, Ste 250, Charlotte, NC 28211-2821 | 2018-07-30 |
| 1184142648 | Heather Fangman | Counselor | 447 S Sharon Amity Rd, Charlotte, NC 28211-2836 | 2017-09-05 |
| 1912439035 | Kimberly Matone | Counselor | 447 S Sharon Amity Rd, 250, Charlotte, NC 28211-2836 | 2017-03-29 |
| 1669917175 | Barrett Hughes | Marriage & Family Therapist | 447 S Sharon Amity Rd, Suite 250, Charlotte, NC 28211-2836 | 2016-12-20 |
| 1073061131 | Qc Psychology Pllc | Psychologist | 447 S Sharon Amity Rd, Suite 140, Charlotte, NC 28211-2836 | 2016-09-19 |
| 1760853709 | Tarras Onischenko | Psychologist | 447 S Sharon Amity Rd, Suite 250, Charlotte, NC 28211-2836 | 2015-10-16 |
| 1386028959 | Lauren Elizabeth Guy | Counselor | 447 S Sharon Amity Rd, Charlotte, NC 28211-2836 | 2015-07-14 |
| 1780961177 | Graham Alexander Hunter | Clinical Neuropsychologist | 447 S Sharon Amity Rd, Suite 140, Charlotte, NC 28211-2836 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
| 1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
| 1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
| 1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on COTWSOLD CLINICIAN SUPPORT SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.