Innovative Counseling Services
NPI 1578949160ActiveOrganization· Counselor· Charlotte, NC
Counselor in Charlotte, North Carolina, registered in NPPES in August 2015. The authorized official on file is Tambgra Juanette Broadaway, LPC, Clinical Director.
Overview
| NPI | 1578949160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2015 |
| Last updated in NPPES | Nov 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 8319 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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