MEDICARE: CORE ESSENTIALS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	104100000X	Social Worker
2	103K00000X	Behavior Analyst
3	101YM0800X	Mental Health Counselor	NC
4	103T00000X	Psychologist
5	1041C0700X	Clinical Social Worker
6	106H00000X	Marriage & Family Therapist
7	103TC0700X	Clinical Psychologist
8	101YA0400X	Addiction (Substance Use Disorder) Counselor
9	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316208713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE ESSENTIALS

Provider Business Mailing Address
First Line	:	8501 TOWER POINT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7849
Country	:	US
Telephone Number	:	919-886-6056
Fax Number	:	877-786-5369

Provider Business Practice Location Address
First Line	:	8501 TOWER POINT DR STE B2-B3
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7849
Country	:	US
Telephone Number	:	877-589-3969
Fax Number	:	877-786-5369

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. LASHEKA D CHAPPELL
Credential	:	PH.D., LPA, HS-PA
Telephone Number	:	919-886-6056

Provider Enumeration Date	:	06/01/2012
Last Update Date	:	11/24/2025

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Directions to “CORE ESSENTIALS ” Practice Location

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