Juno Promise Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JUNO PROMISE INC

Practice address

4142 Queens Grant Rd
Jamestown, NC 27282-8732

Phone

(806) 220-3528

NPI assigned

Mar 22, 2021

Organization subpart

No

Name

Rose Bonner, LCMHCNPI 1255741286

Title

Owner

Phone

(806) 220-3528

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Bonner, LPCA

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1255741286

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2024.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720915200000",
    "number": "1124604012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 QUEENS GRANT RD",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 QUEENS GRANT RD",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828732",
            "telephone_number": "806-220-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNO PROMISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-220-3528",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jamestown, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; 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.