Organization Active NPI

Courage to Change Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, NC
National Provider Identifier
1073079505
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COURAGE TO CHANGE COUNSELING LLC
Practice address
402 Alamance Rd Ste E
Burlington, NC 27215-6176
Phone
(919) 548-7125
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Mrs. Caroline Courtney Jones, LCASNPI 1093199515
Title
Sole Member
Phone
(919) 548-7125

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
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

402 Alamance Rd Ste E
Burlington, NC 27215-6176

Mailing address

402 Alamance Rd Ste E
Burlington, NC 27215-6176
Phone (919) 548-7125

Other identifiers 1

IdentifierTypeStateIssuer
21483OtherNCNCSAPPB

National Provider Directory

National Provider Directory

Locations

402 Alamance Rd
Ste E
Burlington, NC 27215
Phone (919) 548-7125

Practitioners & affiliated clinicians

Practitioners 1

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1073079505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ALAMANCE RD STE E",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156176",
            "telephone_number": "919-548-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ALAMANCE RD STE E",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156176",
            "telephone_number": "919-548-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "919-548-7125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "21483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.