Active NPI
Icenhour Counseling
- Adult Mental Health Clinic/Center
- Boone, NC
National Provider Identifier
1073284162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ICENHOUR COUNSELING
- Practice address
- 184 N Water St Ste 10
Boone, NC 28607-3556 - Phone
- (828) 719-8779
- NPI assigned
- Sep 28, 2021
- 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
- Lesley Blair Icenhour, LCSW, LCAS-A
- Title
- Owner, Therapist
- Phone
- (828) 719-8779
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
184 N Water St Ste 10
Boone, NC 28607-3556
Mailing address
242 Nettle Knob Rd
West Jefferson, NC 28694-7257
National Provider Directory
National Provider DirectoryLocations
184 N Water St
Ste 10
Boone, NC 28607
Phone (336) 671-8662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sparta, NC
- NPI 1699283812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1073284162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 NETTLE KNOB RD",
"city": "WEST JEFFERSON",
"state": "NC",
"postal_code": "286947257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 N WATER ST STE 10",
"city": "BOONE",
"state": "NC",
"postal_code": "286073556",
"telephone_number": "828-719-8779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICENHOUR COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "ICENHOUR",
"authorized_official_first_name": "LESLEY",
"authorized_official_middle_name": "BLAIR",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "828-719-8779",
"authorized_official_credential": "LCSW, LCAS-A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.