Organization Active NPI

New Life Christian Fellowship of Currituck

  • Pastoral Counselor
  • Barco, NC
National Provider Identifier
1104570613
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
NEW LIFE CHRISTIAN FELLOWSHIP OF CURRITUCK
Practice address
4134 Caratoke Hwy
Barco, NC 27917-9510
Phone
(252) 453-2773
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Daniel Bergey, DR.
Title
Senior Pastor/Founder
Phone
(252) 453-2773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

4134 Caratoke Hwy
Barco, NC 27917-9510

Mailing address

4134 Caratoke Hwy
Barco, NC 27917-9510
Phone (252) 453-2773

National Provider Directory

National Provider Directory

Locations

4134 Caratoke Hwy
Barco, NC 27917
Phone (252) 453-2773

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1104570613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 CARATOKE HWY",
            "city": "BARCO",
            "state": "NC",
            "postal_code": "279179510",
            "telephone_number": "252-453-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 CARATOKE HWY",
            "city": "BARCO",
            "state": "NC",
            "postal_code": "279179510",
            "telephone_number": "252-453-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHRISTIAN FELLOWSHIP OF CURRITUCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "BERGEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR PASTOR/FOUNDER",
        "authorized_official_telephone_number": "252-453-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barco, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.