Ruth Talavera

Individual provider Active NPI Mental Health Counselor · Lillington, NC

NPI 1174091748 · NPPES record last updated Nov 13, 2018

Key facts

NPI
1174091748
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A13794 (NC)
Practice address
145 Wood Point Dr
Lillington, NC 27546-6347
Phone
(620) 757-8745
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A13794NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling & Consulting, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13794 NC Yes

Addresses

Primary practice location

145 Wood Point Dr
Lillington, NC 27546-6347

Mailing address

145 Wood Point Dr
Lillington, NC 27546-6347
Phone (620) 757-8745

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 13, 2018.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1174091748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WOOD POINT DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466347",
            "telephone_number": "620-757-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WOOD POINT DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466347",
            "telephone_number": "620-757-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

All providers in Lillington, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.