Triad Human Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4911 Issued in NC

Legal business name

TRIAD HUMAN SERVICES, LLC

Practice address

612 Pasteur Dr
Suite 106
Greensboro, NC 27403-1120

Phone

(336) 259-7201

NPI assigned

Aug 13, 2010

Last updated

Aug 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Harris, MS, MBA, LPC, NCCNPI 1861526717

Title

Therapist/Owner

Phone

(336) 259-7201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Michael Dewayne Harris, MS, LPC, NCC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1861526717
  NPD (past) Authorized official

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1306151311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 FORDING BRIDGE RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031120",
            "telephone_number": "336-259-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "336-259-7201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MBA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triad Health and Wellness Foundation
• Triad Health Center
• Triad Health Project
• Triad Home Care
• Triad Home Health Agency
• Triad Imaging LLC (Novant Health Imaging Triad)
• Triad Integrative Wellness Center Inc
• Triad Internal Medicine Associates 2LLC
• Triad Internal Medicine Associates PA
• Triad Medical Group PA

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.