Active NPI
Cindy M. Nelson, LCPC
- Mental Health Counselor
- Goldsboro, NC
National Provider Identifier
1295926343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9904
- Practice address
- 208 Malloy St
Unit E
Goldsboro, NC 27534-4478 - Phone
- (919) 778-5594
- Fax
- (919) 778-5633
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-7771 | ID | |
| Mental Health Counselor | 101YM0800X | 0107881 | NM | |
| Mental Health Counselor | 101YM0800X | 9904 | NC | Primary |
Addresses
Primary practice location
208 Malloy St
Unit E
Goldsboro, NC 27534-4478
Mailing address
1020 W Franklin St Ste 110
Boise, ID 83702-5400
Phone (208) 917-3346
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-7771 | ID | MD | Mental Health Counselor |
| 0107881 | NM | MD | Mental Health Counselor |
| 9904 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Counseling Center, P.a. | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Goldsboro, NC
- NPI 1881651347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1295926343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W FRANKLIN ST STE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837025400",
"telephone_number": "208-917-3346",
"fax_number": "208-906-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MALLOY ST",
"address_2": "UNIT E",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344478",
"telephone_number": "919-778-5594",
"fax_number": "919-778-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CINDY",
"middle_name": "M.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-7771",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0107881",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.