NPIMap

Organization Active NPI

North Brunswick Counseling & Psychological Associates PLLC

  • Clinical Social Worker
  • Leland, NC
National Provider Identifier
1063775385
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002126 Issued in NC
Legal business name
NORTH BRUNSWICK COUNSELING & PSYCHOLOGICAL ASSOCIATES PLLC
Practice address
1107 New Pointe Blvd
Suite 16
Leland, NC 28451-4128
Phone
(910) 371-0568
Fax
(910) 383-2802
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Cindy L. Chu, LCSW/MSWNPI 1336196781
Title
Owner
Phone
(910) 371-0568

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C002126 NC Primary

Addresses

Primary practice location

1107 New Pointe Blvd
Suite 16
Leland, NC 28451-4128

Mailing address

1107 New Pointe Blvd
Suite 16
Leland, NC 28451-4128
Phone (910) 371-0568

National Provider Directory

National Provider Directory

Locations

1107 New Pointe Blvd
Ste 16
Leland, NC 28451
Phone (910) 200-4764

Practitioners & affiliated clinicians

Practitioners 2

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1063775385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD",
            "address_2": "SUITE 16",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514128",
            "telephone_number": "910-371-0568",
            "fax_number": "910-383-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD",
            "address_2": "SUITE 16",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514128",
            "telephone_number": "910-371-0568",
            "fax_number": "910-383-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BRUNSWICK COUNSELING & PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-371-0568",
        "authorized_official_credential": "LCSW/MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.