Active NPI
C. Douglas Counseling and Coaching
- Professional Counselor
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- C. DOUGLAS COUNSELING AND COACHING
- Practice address
- 1200 Murchison Rd
Fayetteville, NC 28301-4252 - Phone
- (919) 504-3004
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Douglas
- Title
- Owner
- Phone
- (919) 504-3004
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1200 Murchison Rd
Fayetteville, NC 28301-4252
Mailing address
3434 Kildaire Farm Rd., Ste 135
Box 704
Cary, NC 27518
Other practice location 1
9700 Research Drive Ste 131
Charlotte, NC 28262
Phone (919) 504-3004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295202539 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3434 Kildaire Farm Rd
Ste 135
Cary, NC 27518
Phone (805) 300-4720
9700 Research Dr
Ste 131
Charlotte, NC 28262
Phone (919) 504-3004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Raleigh, NC
- NPI 1295202539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1326642729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 KILDAIRE FARM RD., STE 135",
"address_2": "BOX 704",
"city": "CARY",
"state": "NC",
"postal_code": "27518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MURCHISON RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014252",
"telephone_number": "919-504-3004"
}
],
"practiceLocations": [
{
"address_1": "9700 Research Drive Ste 131",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28262",
"country_code": "US",
"telephone_number": "919-504-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "C. DOUGLAS COUNSELING AND COACHING",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-504-3004"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295202539",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.