Organization Active NPI

Avalon Counseling Services PA

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1336533116
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5091 Issued in NC
Legal business name
AVALON COUNSELING SERVICES PA
Practice address
916 B Arsenal Ave
Fayetteville, NC 28305
Phone
(910) 323-0965
Fax
(910) 323-0310
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mrs. Deborah Lynn Foley, LPCS
Title
Licensed Professional Counselor
Phone
(910) 323-0965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5091 NC Primary

Addresses

Primary practice location

916 B Arsenal Ave
Fayetteville, NC 28305

Mailing address

PO Box 87041
Fayetteville, NC 28304-7041
Phone (910) 323-0965

National Provider Directory

National Provider Directory

Locations

422 McArthur Rd
Ste B
Fayetteville, NC 28311
Phone (910) 323-0965

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1336533116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87041",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047041",
            "telephone_number": "910-323-0965",
            "fax_number": "910-323-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 B ARSENAL AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-323-0965",
            "fax_number": "910-323-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON COUNSELING SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "910-323-0965",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2015; 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.