JESSICA CLODFELTER MS LCMHC NCC NPI 1982149142

NPI Information

NPI: 1982149142
Provider Name: JESSICA CLODFELTER, MS, LCMHC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2627 HEATHER GLEN LN
CHARLOTTE, NC
ZIP 28208
Phone: (336) 337-1519
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Jessica Clodfelter, MS, LCMHC, NCC is a mental health counselor in Charlotte, NC. Jessica Clodfelter, MS, LCMHC, NCC NPI is 1982149142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2627 HEATHER GLEN LN
CHARLOTTE, NC
ZIP 28208-577
Phone: (336) 337-1519

The NPI 1982149142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/27/2016 and was last updated on 5/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	12637	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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