Active NPI
Cardinal Counseling Connection, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greensboro, NC
National Provider Identifier
1124817382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CARDINAL COUNSELING CONNECTION, PLLC
- Practice address
- 717 Green Valley Rd Ste 206
Greensboro, NC 27408-2156 - Phone
- (336) 517-7120
- NPI assigned
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Ryan Wilson, LCMHC
- Title
- Counselor
- Phone
- (219) 201-3328
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
717 Green Valley Rd Ste 206
Greensboro, NC 27408-2156
Mailing address
102 W Cardwell St
Madison, NC 27025-1704
Phone (219) 201-3328
National Provider Directory
National Provider DirectoryLocations
717 Green Valley Rd
Ste 206
Greensboro, NC 27408
Phone (336) 517-7120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Kennewick, WA
- NPI 1982331328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1124817382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W CARDWELL ST",
"city": "MADISON",
"state": "NC",
"postal_code": "270251704",
"telephone_number": "219-201-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 GREEN VALLEY RD STE 206",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082156",
"telephone_number": "336-517-7120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL COUNSELING CONNECTION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "219-201-3328",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Jennifer Cantwell Wood, MPH, RD, LDN
- Heather Canty, MPT
- Narumaol Diana Carbonell, COTA/L
- Simone Carden
- Cardinal Adult Day Center
- Cardinal Health Services, P.C.
- Cardinal Podiatry, P.C.
- Cardinal State Transit
- Cardiovascular and Thoracic Surgeons of Greensboro
- Cardiovascular and Thoracic Surgeons of Greensboro (Triad Cardiac and Thoracic Surgery / Vascular and Vein Specialists of)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.