Active NPI
Bruce Hunter Corregan, MA
- Addiction (Substance Use Disorder) Counselor
- Mount Airy, NC
National Provider Identifier
1285852533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 472
- Practice address
- 847 W Lake Dr
Mount Airy, NC 27030-2157 - Phone
- (336) 783-6919
- Fax
- (336) 786-6312
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | S2918 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 472 | NC | Primary |
Addresses
Primary practice location
847 W Lake Dr
Mount Airy, NC 27030-2157
Mailing address
137 N Summit Dr
Mount Airy, NC 27030-8991
Phone (336) 755-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102323 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 472 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| S2918 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1285852533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N SUMMIT DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270308991",
"telephone_number": "336-755-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 W LAKE DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302157",
"telephone_number": "336-783-6919",
"fax_number": "336-786-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREGAN",
"first_name": "BRUCE",
"middle_name": "HUNTER",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "S2918",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102323",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
- Jacob Tanner Cooke, MS, CCC-SLP
- Cooper Counseling Services PLLC
- Cooper Counseling, PLLC
- Jessica Creed Cooper, MA ED, LCMHC, NCC
- Robert Scott Corbin, M.D.
- County of Surry & Surry County Welfare Department (Surry County Emergency Services)
- County of Surry & Surry County Welfare Department (Surry County Home Health Agency)
- Jodi Harris Cox
- Johnny Lynn Cox, PHARMD
- Helen Crane, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.