DR. VINCENT COSTA (NPI# 1194113084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194113084 |
| Entity Type | Individual |
| Full Name | DR. VINCENT COSTA |
| Credential | DR. |
| Practice Address |
2124 Crown Centre Dr Ste 400 Charlotte NC 28227-7804 |
| Mailing Address |
9212 Seamill Rd Charlotte NC 28278-8004 |
| Practice Telephone | 7048490144 |
| Mailing Telephone | 7047792961 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
8321 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSED PROFESSIONAL COUNSELOR | 8321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881882801 | Vincent L Costa | Pharmacist | 6007 Allentown Blvd, C/o Cvs, Harrisburg, PA 17112 | 2007-10-04 |
| 1033538038 | Vincent Costa | Emergency Medicine | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2014-04-08 |
| Street Address |
2124 CROWN CENTRE DR STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28227-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629303037 | Galina Olivera-celdran | Counselor | 2124 Crown Centre Dr Ste 400, Agape Christian Counseling, Charlotte, NC 28227-7804 | 2009-10-03 |
| 1750937264 | Crystal Dawn Murphy | Counselor | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227-7804 | 2019-08-12 |
| 1154840882 | Kaitlyn Rae Fraser I | Counselor | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227-7804 | 2017-09-13 |
| 1871949651 | Agape Creative Ministries | Counselor | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227-7804 | 2016-05-10 |
| 1679931612 | April Broadwater Pomerlyan | Counselor | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227 | 2016-02-05 |
| 1194113159 | Agape Creative Ministries, Inc. Dba Agape Christian Counseling | Counselor | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227-7804 | 2014-12-29 |
| 1821308263 | Belinda H. Johnson | Marriage & Family Therapist | 2124 Crown Centre Dr Ste 400, Charlotte, NC 28227-7804 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| Find all providers in zip 28227 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
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| 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.