MEDICARE: DR. NATIKA MONIQUE MCPHERSON PHD, LPCS, NCC, ACS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E2607073	OH
2	101YP2500X	Professional Counselor	9598	GA
3	101YP2500X	Professional Counselor	8187S	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	278368	OTHER		NATIONAL CERTIFIED COUNSELOR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629384391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATIKA MONIQUE MCPHERSON PHD, LPCS, NCC, ACS

Provider Business Mailing Address
First Line	:	9136 MARION OAKS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-2261
Country	:	US
Telephone Number	:	704-550-8329
Fax Number	:

Provider Business Practice Location Address
First Line	:	9136 MARION OAKS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-2261
Country	:	US
Telephone Number	:	704-550-8329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	05/19/2026

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