Individual provider Active NPI

Emily Karen Childress, EMILY CHILDRESS

  • Marriage & Family Therapist
  • Holly Springs, NC
National Provider Identifier
1184938342
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000322 Issued in IA
Practice address
362 Raleigh St
Holly Springs, NC 27540-9047
Phone
(984) 363-9195
Fax
(515) 233-6500
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000322 IA Primary

Addresses

Primary practice location

362 Raleigh St
Holly Springs, NC 27540-9047

Mailing address

120 Avent Pines LN
Holly Springs, NC 27540-8618
Phone (984) 363-9195

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

LicenseStateTypeSpecialty
000322IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Family Therapy Marriage & Family Therapist CurrentSince Nov 24, 2025 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1184938342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVENT PINES LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408618",
            "telephone_number": "984-363-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 RALEIGH ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "984-363-9195",
            "fax_number": "515-233-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "EMILY",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "EMILY CHILDRESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.