Organization Active NPI

Stonebridge Counseling PLLC

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1023378254
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7714 Issued in NC
Legal business name
STONEBRIDGE COUNSELING PLLC
Practice address
1101 Pemberton Hill Rd Suite 103
Apex, NC 27502-3957
Phone
(919) 434-6398
Fax
(919) 557-2089
NPI assigned
May 22, 2012
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Ms. Kathryn Sheldon
Title
Practice Manager
Phone
(919) 434-6398

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7714 NC Primary
Clinical Social Worker 1041C0700X C007423 NC

Addresses

Primary practice location

1101 Pemberton Hill Rd Suite 103
Apex, NC 27502-3957

Mailing address

1101 Pemberton Hill Rd Suite 103
Apex, NC 27502-3957
Phone (919) 434-6398

Other identifiers 2

IdentifierTypeStateIssuer
6106337MedicaidNC
6107498MedicaidNC

National Provider Directory

National Provider Directory

Locations

1101 Pemberton Hill Rd
Ste 103
Apex, NC 27502
Phone (919) 363-2225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1023378254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD SUITE 103",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-434-6398",
            "fax_number": "919-557-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD SUITE 103",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-434-6398",
            "fax_number": "919-557-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-434-6398",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7714",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106337",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.