Active NPI
R & R Counseling Services PLLC
- Clinical Psychologist
- Jacksonville, NC
National Provider Identifier
1053653329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3705
- Legal business name
- R & R COUNSELING SERVICES PLLC
- Practice address
- 445 Western Blvd
Suite Q
Jacksonville, NC 28546-6845 - Phone
- (336) 409-1551
- NPI assigned
- Mar 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Mandel
- Title
- Owner/Member
- Phone
- (336) 409-1551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3705 | NC | Primary |
Addresses
Primary practice location
445 Western Blvd
Suite Q
Jacksonville, NC 28546-6845
Mailing address
700 White Oak Xing
Swansboro, NC 28584-8481
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1053653329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WHITE OAK XING",
"city": "SWANSBORO",
"state": "NC",
"postal_code": "285848481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WESTERN BLVD",
"address_2": "SUITE Q",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466845",
"telephone_number": "336-409-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & R COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-25",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "MANDEL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "336-409-1551",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.