Organization Active NPI

Oceanside Counseling LPC PC

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1174076780
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4576 Issued in NC
Legal business name
OCEANSIDE COUNSELING LPC PC
Practice address
130 N Hampton Rd
Wilmington, NC 28409-3181
Phone
(910) 742-1791
Fax
(910) 339-4045
NPI assigned
Jul 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Authorized official

Name
Jarrod Gray, LPCNPI 1861414682
Title
President
Phone
(910) 742-1791

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4576 NC Primary

Addresses

Primary practice location

130 N Hampton Rd
Wilmington, NC 28409-3181

Mailing address

130 N Hampton Rd
Wilmington, NC 28409-3181
Phone (910) 742-1791

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": "1469923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469923200000",
    "number": "1174076780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N HAMPTON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093181",
            "telephone_number": "910-742-1791",
            "fax_number": "910-339-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N HAMPTON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093181",
            "telephone_number": "910-742-1791",
            "fax_number": "910-339-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE COUNSELING LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-742-1791",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2016; 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.