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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13794 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling & Consulting, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Annemarie Strickland
- Lindsey Strickland
- William Keith Studley
- Kavita Sura
- Tala Habilitative Services, Inc.
- Sharon Boyd Taunton
- Jaime Ward Taylor
- Kaylee Nicole Taylor
- Graham Terrell
- The Mental Health Association in North Carolina, Inc.
All providers in Lillington, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.