Southpark Psychotherapy PLLC
NPI 1679285043 · Mental Health Counselor · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southpark Psychotherapy PLLC is a Mental Health Counselor organization in Charlotte, NC (NPI 1679285043).
Provider details
- NPI number
- 1679285043
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sara Wilkerson, Counselor and Owner(980) 999-0501
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Southpark Psychotherapy
Additional practice locations (1)
- 309 S Sharon Amity Rd Ste 304Charlotte, NC 28211-2886Phone: (980) 999-0501
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Southpark Psychotherapy PLLC's NPI number?
- Southpark Psychotherapy PLLC's National Provider Identifier (NPI) is 1679285043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southpark Psychotherapy PLLC?
- Southpark Psychotherapy PLLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Southpark Psychotherapy PLLC located?
- Southpark Psychotherapy PLLC's practice location on file with NPPES is 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113.
- What is Southpark Psychotherapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southpark Psychotherapy PLLC is (980) 999-0501.
- Does Southpark Psychotherapy PLLC accept Medicare?
- Southpark Psychotherapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southpark Psychotherapy PLLC?
- The authorized official listed on Southpark Psychotherapy PLLC's NPPES record is Sara Wilkerson, Counselor and Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southpark Psychotherapy PLLC's NPI active?
- Yes — Southpark Psychotherapy PLLC's NPI (1679285043) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.