NPIMap

Organization Active NPI

Cscldl, PC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1255572525
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6710 Issued in NC
Legal business name
CSCLDL, PC
Practice address
2014 Hope Mills Rd
Fayetteville, NC 28304-4225
Phone
(910) 425-6136
Fax
(910) 424-0198
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Ms. Corinna Suzette McMillon, LPCNPI 1306033998
Title
President
Phone
(910) 322-1479

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
Professional Counselor 101YP2500X 6710 NC Primary

Addresses

Primary practice location

2014 Hope Mills Rd
Fayetteville, NC 28304-4225

Mailing address

4323 Dominique St
Hope Mills, NC 28348-2854
Phone (910) 322-1479

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1255572525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 DOMINIQUE ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482854",
            "telephone_number": "910-322-1479",
            "fax_number": "910-339-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044225",
            "telephone_number": "910-425-6136",
            "fax_number": "910-424-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSCLDL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "MCMILLON",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-322-1479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6710",
            "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 Mar 17, 2009; 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.