NPIMap

Organization Active NPI

McCombs Counseling & Consulting, Inc

  • Counselor
  • Kannapolis, NC
National Provider Identifier
1053378885
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1080 Issued in NC
Legal business name
MCCOMBS COUNSELING & CONSULTING, INC
Practice address
608 McCombs Ave
Kannapolis, NC 28083-3605
Phone
(704) 933-0007
Fax
(704) 933-0300
NPI assigned
Apr 26, 2006
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Jefferson McCombs, LPC, M.EDNPI 1548209885
Title
President
Phone
(704) 933-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1080 NC Primary

Addresses

Primary practice location

608 McCombs Ave
Kannapolis, NC 28083-3605

Mailing address

608 McCombs Ave
Kannapolis, NC 28083-3605
Phone (704) 933-0007

Other identifiers 1

IdentifierTypeStateIssuer
01636OtherNCBCBS GROUP PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130917000292 NC Part B Supplier - Clinic/Group Practice 0244474005 Receives reassigned benefits from 2 practitioners
Practice locations: Kannapolis, NC

National Provider Directory

National Provider Directory

Locations

608 McCombs Ave
Kannapolis, NC 28083
Phone (704) 763-4924

Practitioners & affiliated clinicians

Practitioners 8

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1053378885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MCCOMBS AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833605",
            "telephone_number": "704-933-0007",
            "fax_number": "704-933-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MCCOMBS AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833605",
            "telephone_number": "704-933-0007",
            "fax_number": "704-933-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMBS COUNSELING & CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-933-0007",
        "authorized_official_credential": "LPC, M.ED"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER ID",
            "identifier": "01636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.