Individual provider Active NPI

Courtney Myers, LMFT

  • Marriage & Family Therapist
  • Wake Forest, NC
National Provider Identifier
1073858478
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8035A Issued in NC
Practice address
1756 Heritage Center Dr Ste 104
Wake Forest, NC 27587-8796
Phone
(984) 235-2545
NPI assigned
Dec 11, 2012
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 8035A NC Primary

Addresses

Primary practice location

1756 Heritage Center Dr Ste 104
Wake Forest, NC 27587-8796

Mailing address

409 Lindsays Run
Rolesville, NC 27571-9540
Phone (919) 414-7607

Other practice location 1

2317 Executive Cir Ste B
Greenville, NC 27834-3762
Phone (252) 229-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8035ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Wellness PLLC Marriage & Family Therapist PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1073858478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LINDSAYS RUN",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719540",
            "telephone_number": "919-414-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 HERITAGE CENTER DR STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878796",
            "telephone_number": "984-235-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2317 Executive Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343762",
            "country_code": "US",
            "telephone_number": "252-229-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "COURTNEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "8035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.