Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Base, PLLC

Organization Mental Health Counselor · NPI 1265936108

Base, PLLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 Mockingbird Ln Ste 580
Charlotte, NC 28209-3236
Phone: (704) 910-8381
Fax: (704) 981-8282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1265936108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Kettling — Co-Owner/Licensed Psychologist · (704) 910-8381
NPI enumeratedMarch 23, 2018
Last updated in NPPESAugust 6, 2019
Mailing address1515 Mockingbird Ln Ste 580, Charlotte, NC 28209-3236

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