NPIMap

Organization Active NPI

Covenant of Love Marriage Ministry, LLC

  • Pastoral Counselor
  • Greensboro, NC
National Provider Identifier
1194097733
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
0997348 Issued in NC
Legal business name
COVENANT OF LOVE MARRIAGE MINISTRY, LLC
Practice address
2514 Denver Dr
Greensboro, NC 27406-6304
Phone
(336) 855-7912
Fax
(336) 852-9858
NPI assigned
Jan 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Dr. Theresa Payne Greene, LCPC
Title
Licensed Clinical Pastoral Counselo
Phone
(336) 855-7912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X 0997348 NC Primary

Addresses

Primary practice location

2514 Denver Dr
Greensboro, NC 27406-6304

Mailing address

2514 Denver Dr
Greensboro, NC 27406-6304
Phone (336) 855-7912

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1194097733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 DENVER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066304",
            "telephone_number": "336-855-7912",
            "fax_number": "336-852-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 DENVER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066304",
            "telephone_number": "336-855-7912",
            "fax_number": "336-852-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT OF LOVE MARRIAGE MINISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-28",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PASTORAL COUNSELO",
        "authorized_official_telephone_number": "336-855-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "0997348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.