Active NPI
Banner Consulting
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1194124412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3565
- Legal business name
- BANNER CONSULTING
- Practice address
- 2525 Raeford Rd
Suite B
Fayetteville, NC 28305-5091 - Phone
- (910) 309-1574
- NPI assigned
- Aug 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Dean Powell, DMIN
- Title
- Director
- Phone
- (910) 309-1574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3565 | NC | Primary |
Addresses
Primary practice location
2525 Raeford Rd
Suite B
Fayetteville, NC 28305-5091
Mailing address
2525 Raeford Rd
Suite B
Fayetteville, NC 28305-5091
Phone (910) 309-1574
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1194124412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 RAEFORD RD",
"address_2": "SUITE B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055091",
"telephone_number": "910-309-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 RAEFORD RD",
"address_2": "SUITE B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055091",
"telephone_number": "910-309-1574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-309-1574",
"authorized_official_credential": "DMIN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.