Carrigan & Associates Counseling, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MHL097052 Issued in NC

Legal business name

CARRIGAN & ASSOCIATES COUNSELING, INC.

Doing business as

Main St. Station

Practice address

403 E Main St
Wilkesboro, NC 28697-2505

Phone

(336) 903-8500

Fax

(336) 903-8505

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Edmund Carrigan Jr., QP

Title

Program Director

Phone

(336) 903-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main St. Station Doing business as

Tax ID family

Carrigan Associates Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carrigan & Associates Counseling Inc

  dba Main Street Station Psycho Social Rehabilitation

  • Adult Mental Health Clinic/Center
  • Wilkesboro, NC
  • NPI 1437214715
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1013184738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286970201",
            "telephone_number": "336-903-8500",
            "fax_number": "336-903-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972505",
            "telephone_number": "336-903-8500",
            "fax_number": "336-903-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIGAN & ASSOCIATES COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "CARRIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-903-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL097052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main St. Station",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Burgess, LMFT
• Kevin James Byrd, QP
• Zoee Amber Wood Byrd, LCMHC
• Jami Lynn Cantrell, LPC
• Carrigan & Associates Counseling Inc (Main Street Station Psycho Social Rehabilitation)
• Heather L Casey, RD
• Catawba Chiropractic Corporation (Wilkesboro Chiropractic Clinic)
• Haylee Breanna Church, M.S., CCC-SLP
• Karson Anderson Church, OTR/L
• Mary Lou Church, M.D.

• Adult Mental Health Clinic/Center in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.