Healthcare Provider Details

I. General information

NPI: 1992653596
Provider Name (Legal Business Name): FRAME OF MIND THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 WHITING AVE
CHARLOTTE NC
28205-1648
US

IV. Provider business mailing address

3117 WHITING AVE
CHARLOTTE NC
28205-1648
US

V. Phone/Fax

Practice location:
  • Phone: 980-224-2708
  • Fax: 980-217-8239
Mailing address:
  • Phone: 980-224-2708
  • Fax: 980-217-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L. KOGUT
Title or Position: OWNER AND THERAPIST
Credential: MS, LCMHC, LPC
Phone: 980-224-2708