Active NPI
Keith Bryan Cottle, LPC
- Professional Counselor
- High Point, NC
National Provider Identifier
1043403637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 854
- Practice address
- 404 Westwood Ave
Suite 207
High Point, NC 27262-4315 - Phone
- (336) 878-6042
- Fax
- (336) 878-6122
- NPI assigned
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 854 | NC | Primary |
Addresses
Primary practice location
404 Westwood Ave
Suite 207
High Point, NC 27262-4315
Mailing address
404 Westwood Ave
Suite 207
High Point, NC 27262-4315
Phone (336) 878-6042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3803 Robert Porcher Way
Greensboro, NC 27410-2191
Phone (336) 286-3442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1043403637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WESTWOOD AVE",
"address_2": "SUITE 207",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624315",
"telephone_number": "336-878-6042",
"fax_number": "336-878-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WESTWOOD AVE",
"address_2": "SUITE 207",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624315",
"telephone_number": "336-878-6042",
"fax_number": "336-878-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTLE",
"first_name": "KEITH",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
- Cornerstone Healthcare LLC (Cornerstone Comprehensive Wound Care Center)
- Linda A Cornforth, RN
- Kimberly Correa, RDN, LDN
- Richard Costello, PA-C
- Bambi Gibson Cottle, LPC
- Paul W. F. Coughlin, MD
- County of Guilford (The Guilford Center)
- Angela Quinlivan Cowell, MSW, LCSW
- Kristin Cowell
- Christopher S Cowen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.