Organization Active NPI

Mind and Spirit Counseling

  • Pastoral Counselor
  • Burlington, NC
National Provider Identifier
1245680768
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
MIND AND SPIRIT COUNSELING
Practice address
1926 Basin Creek Rd
Burlington, NC 27217-7353
Phone
(336) 612-1747
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Susan L. Bowen, NCFBPPCNPI 1184151854
Title
Counselor
Phone
(336) 612-1747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1926 Basin Creek Rd
Burlington, NC 27217-7353

Mailing address

1926 Basin Creek Rd
Burlington, NC 27217-7353
Phone (336) 612-1747

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1245680768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 BASIN CREEK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177353",
            "telephone_number": "336-612-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 BASIN CREEK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177353",
            "telephone_number": "336-612-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND SPIRIT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "336-612-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NCFBPPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.