Organization Active NPI

R & R Counseling Services PLLC

  • Clinical Psychologist
  • Jacksonville, NC
National Provider Identifier
1053653329
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3705 Issued in NC
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

Updated by the provider on Apr 16, 2013

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.