Nivedita Roy, LCAS, LCMHC | |
1136 Sam Newell Rd Ste A1, Matthews, NC 28105-5063 | |
(828) 215-7865 | |
(828) 417-3761 |
Full Name | Nivedita Roy |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1136 Sam Newell Rd Ste A1, Matthews, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710922257 | NPI | - | NPPES |
6103041 | Medicaid | NC | |
1407P | Other | NC | BCBSNC GRP # 015HF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4279 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 4279 (North Carolina) | Primary |
Entity Name | Chai Clinical Concepts Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285490656 PECOS PAC ID: 7517303829 Enrollment ID: O20240308002800 |
Mailing Address | Practice Location Address |
---|---|
Nivedita Roy, LCAS, LCMHC 1136 Sam Newell Rd Ste A1, Matthews, NC 28105-5063 Ph: (828) 215-7865 | Nivedita Roy, LCAS, LCMHC 1136 Sam Newell Rd Ste A1, Matthews, NC 28105-5063 Ph: (828) 215-7865 |
Esther Nam, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 855 Sam Newell Rd Ste 100, Matthews, NC 28105 Phone: 704-360-3637 | |
Courtney Michelle Caveny, MA, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-384-1261 Fax: 704-384-3145 | |
Ashlyn B Sexton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Matthews Mint Hill Rd, Matthews, NC 28105 Phone: 704-844-6958 | |
Mrs. Shannon Marie Berger, MED., LPCA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Cinnamon Dr, Matthews, NC 28104 Phone: 828-388-2399 | |
Jenna Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9719 Northeast Pkwy, Matthews, NC 28105 Phone: 704-443-8148 | |
Adria Goulet, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Matthews Station St, Matthews, NC 28105 Phone: 980-299-7436 | |
Dr. Tracy Masiello, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1146 Sam Newell Rd, D, Matthews, NC 28105 Phone: 704-443-8148 |