NPIMap

Organization Active NPI

Pinnacle Counseling Services, PLLC

  • Professional Counselor
  • Creedmoor, NC
National Provider Identifier
1255608840
Registry record updated Nov 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6824 Issued in NC
Legal business name
PINNACLE COUNSELING SERVICES, PLLC
Practice address
106 W Church St
Suite H
Creedmoor, NC 27522-9766
Phone
(919) 885-4046
Fax
(919) 477-1848
NPI assigned
Nov 26, 2011
Last updated
Nov 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2011

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

Authorized official

Name
Mrs. Telina F Mathews, MA, NCC, LPCNPI 1841473212
Title
Clinical Director/Owner
Phone
(919) 302-5483

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 6824 NC Primary

Addresses

Primary practice location

106 W Church St
Suite H
Creedmoor, NC 27522-9766

Mailing address

PO Box 73081
Durham, NC 27722-3081
Phone (919) 885-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603000786 NC Part B Supplier - Clinic/Group Practice 6204345127 Receives reassigned benefits from 1 practitioner
Practice locations: Creedmoor, NC

National Provider Directory

National Provider Directory

Locations

106 W Church St
Ste H
Creedmoor, NC 27522
Phone (919) 885-4046

Practitioners & affiliated clinicians

Practitioners 6

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": "1322265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322265600000",
    "number": "1255608840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73081",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277223081",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W CHURCH ST",
            "address_2": "SUITE H",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229766",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-26",
        "last_updated": "2011-11-26",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TELINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "919-302-5483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.