Organization Active NPI

Providence Counseling & Training, Inc.

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1306072186
Registry record updated Jun 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6757 Issued in NC
Legal business name
PROVIDENCE COUNSELING & TRAINING, INC.
Practice address
10140 Providence Church LN
Charlotte, NC 28277-9722
Phone
(704) 577-4311
Fax
(704) 846-9424
NPI assigned
Jun 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2009

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

Authorized official

Name
Mr. Raymond Joseph Ball, L.P.C.
Title
Director/Counselor
Phone
(704) 577-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6757 NC Primary

Addresses

Primary practice location

10140 Providence Church LN
Charlotte, NC 28277-9722

Mailing address

10140 Providence Church LN
Charlotte, NC 28277-9722
Phone (704) 577-4311

National Provider Directory

National Provider Directory

Locations

10140 Providence Church Ln
Charlotte, NC 28277
Phone (704) 577-4311

Practitioners & affiliated clinicians

Practitioners 2

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": "1244246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244246400000",
    "number": "1306072186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 PROVIDENCE CHURCH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779722",
            "telephone_number": "704-577-4311",
            "fax_number": "704-846-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 PROVIDENCE CHURCH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779722",
            "telephone_number": "704-577-4311",
            "fax_number": "704-846-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE COUNSELING & TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "704-577-4311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.