Organization Active NPI

Counseling and Psychology Resources

  • Clinical Psychologist
  • Hickory, NC
National Provider Identifier
1194846030
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1082 Issued in NC
Legal business name
COUNSELING AND PSYCHOLOGY RESOURCES
Practice address
321 7TH St NE
Suite a
Hickory, NC 28601-5113
Phone
(828) 324-6397
Fax
(828) 324-2320
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Gary S Indenbaum, PH.D.
Title
Owner
Phone
(828) 324-6397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1082 NC Primary

Addresses

Primary practice location

321 7TH St NE
Suite a
Hickory, NC 28601-5113

Mailing address

321 7TH St NE
Suite a
Hickory, NC 28601-5113
Phone (828) 324-6397

Other identifiers 1

IdentifierTypeStateIssuer
6000307MedicaidNC

National Provider Directory

National Provider Directory

Locations

321 7th St NE
Ste A
Hickory, NC 28601
Phone (828) 324-6397

321 7th St NE
Hickory, NC 28601
Phone (828) 324-6397

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1194846030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 7TH ST NE",
            "address_2": "SUITE A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015113",
            "telephone_number": "828-324-6397",
            "fax_number": "828-324-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 7TH ST NE",
            "address_2": "SUITE A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015113",
            "telephone_number": "828-324-6397",
            "fax_number": "828-324-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "INDENBAUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-324-6397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.