NPIMap

Organization Active NPI

Cottonwood Counseling & Consulting, PLLC

  • Professional Counselor
  • Albemarle, NC
National Provider Identifier
1124525845
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8673 Issued in NC
Legal business name
COTTONWOOD COUNSELING & CONSULTING, PLLC
Practice address
431 Ridge St
Albemarle, NC 28001-4346
Phone
(704) 550-7220
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Jasmine Nicole Eatman, LCAS, LPCNPI 1215227640
Title
Owner/Therapist
Phone
(704) 550-7220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2626 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8673 NC Primary

Addresses

Primary practice location

431 Ridge St
Albemarle, NC 28001-4346

Mailing address

431 Ridge St
Albemarle, NC 28001-4346
Phone (704) 550-7220

National Provider Directory

National Provider Directory

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1124525845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 RIDGE ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014346",
            "telephone_number": "704-550-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RIDGE ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014346",
            "telephone_number": "704-550-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "EATMAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-550-7220",
        "authorized_official_credential": "LCAS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2626",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.