Active NPI
Emily Karen Childress, EMILY CHILDRESS
- Marriage & Family Therapist
- Holly Springs, NC
National Provider Identifier
1184938342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000322
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000322 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewal Family Therapy | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Kansas City, MO
- NPI 1851252753
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.