OrganizationActive
Innovative Counseling Services
NPI 1578949160 · Counselor · Charlotte, NC
Innovative Counseling Services is a Counselor organization in Charlotte, NC (NPI 1578949160).
Provider details
- NPI number
- 1578949160
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tambgra Broadaway, Clinical Director(704) 578-7543
- License
- 8319 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 E Morehead St
Suite 20 - L
Charlotte, NC 28204-2850
Phone: (980) 272-7859
Street-level locationGet directions
Mailing address
1200 E Morehead St
Charlotte, NC 28204-2850
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2016-11-23
Frequently asked questions
- What is Innovative Counseling Services's NPI number?
- Innovative Counseling Services's National Provider Identifier (NPI) is 1578949160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Counseling Services?
- Innovative Counseling Services is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Innovative Counseling Services located?
- Innovative Counseling Services's practice location on file with NPPES is 1200 E Morehead St, Charlotte, NC 28204-2850.
- What is Innovative Counseling Services's phone number?
- The practice phone number listed in the NPPES registry for Innovative Counseling Services is (980) 272-7859.
- Who is the authorized official for Innovative Counseling Services?
- The authorized official listed on Innovative Counseling Services's NPPES record is Tambgra Broadaway, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Counseling Services's NPI active?
- Yes — Innovative Counseling Services's NPI (1578949160) is active in the NPPES registry as of the last update on 2016-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.