Active NPI
Eileen Marie Pastore, LMFT
- Marriage & Family Therapist
- Wilmington, NC
National Provider Identifier
1164692893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1310
- Practice address
- 313 Walnut St
Wilmington, NC 28401-4067 - Phone
- (910) 599-5364
- Fax
- (877) 224-9783
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1310 | NC | Primary |
Addresses
Primary practice location
313 Walnut St
Wilmington, NC 28401-4067
Mailing address
313 Walnut St
Wilmington, NC 28401-4067
Phone (910) 599-5364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105203 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1310 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1164692893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 WALNUT ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014067",
"telephone_number": "910-599-5364",
"fax_number": "877-224-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 WALNUT ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014067",
"telephone_number": "910-599-5364",
"fax_number": "877-224-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE",
"first_name": "EILEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105203",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.