John F Kubiak, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1156 Issued in NC

Practice address

3206 Heritage Trade Dr
Suite 108-a
Wake Forest, NC 27587-4486

Phone

(919) 302-8297

Fax

(919) 803-1770

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John F. Kubiak, LMFT, PLLC

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1841424918
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241222400000",
    "number": "1043385347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SHADOW CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045891",
            "telephone_number": "919-302-8297",
            "fax_number": "919-803-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 HERITAGE TRADE DR",
            "address_2": "SUITE 108-A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874486",
            "telephone_number": "919-302-8297",
            "fax_number": "919-803-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Kornberg, LCSWA
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• Abigail Elizabeth Kroner, OTD, OTR/L
• Chloe Eileen Kurst, OTR/L
• L. Brett Wells DDS VI PLLC
• Laboratory Corporation of America Holdings
• Julie Marie Lajoe, LPC
• Tida Lam, D.O

• Marriage & Family Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2009; 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.