SOUL CARE, PLLC
NPI 1821320334
Community/Behavioral Health in Charlotte, NC

NPI Status: Active since February 08, 2010

Contact Information

5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC
ZIP 28212
Phone: (980) 613-8312
Fax: (888) 972-4998

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About SOUL CARE, PLLC

This page provides the complete NPI Profile along with additional information for Soul Care, Pllc, a provider established in Charlotte, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1821320334 assigned on February 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Soul Care, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chantelle M. Johnson Ma, Lcmhc-s, Lcpc (Clinical Director/owner)

NPI
1821320334
Provider Name
SOUL CARE, PLLC
Entity Type
Organization
Location Address
5501 EXECUTIVE CENTER DR STE 215 CHARLOTTE, NC 28212
Location Phone
(980) 613-8312
Location Fax
(888) 972-4998
Mailing Address
3695 SUNSET AVE UNIT 8936 ROCKY MOUNT, NC 27804
Mailing Phone
(980) 613-8312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2010
Last Update Date
11-22-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2101YP1600XBehavioral Health & Social Service Providers

Counselor
Pastoral

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

7710 (NC)
4103T00000XBehavioral Health & Social Service Providers

Psychologist

 
51041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
7363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Silver Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHANTELLE M. JOHNSON MA, LCMHC-S, LCPC

Authorized Official Title
CLINICAL DIRECTOR/OWNER
Authorized Official Phone
(980) 613-8312

Reviews for SOUL CARE, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821320334
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284162036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 2 + 0 + 3 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1821320334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184236226 ANDREA ROSE CORPUS
Individual
Physician Assistant5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC 28212
(980) 613-8312
1023879152 JENNY C SOTO LPC-A
Individual
Counselor (Addiction (Substance Use Disorder))5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC 28212
(704) 771-5592
1992525257 SHEENA SCHNELL MARSH LCMHCA
Individual
Counselor (Professional)5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC 28212
(980) 613-8312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821320334, enumerated in the NPI registry as an "organization" on February 08, 2010

The provider is located at 5501 Executive Center Dr Ste 215 Charlotte, Nc 28212 and the phone number is (980) 613-8312

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 08, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.