Organization Active NPI

Icenhour Counseling

  • Adult Mental Health Clinic/Center
  • Boone, NC
National Provider Identifier
1073284162
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Lesley Blair Icenhour, LCSW, LCAS-ANPI 1699283812
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.