Active NPI
Jennifer A. Labonte, MA, LCMHCS, LCAS,CCS
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1356630909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- S8238
- Practice address
- 3802 Robert Porcher Way
Greensboro, NC 27410-2190 - Phone
- (919) 332-2644
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-3363 | NC | |
| Professional Counselor | 101YP2500X | S8238 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS-20543 | NC |
Addresses
Primary practice location
3802 Robert Porcher Way
Greensboro, NC 27410-2190
Mailing address
3802 Robert Porcher Way
Greensboro, NC 27410-2190
Phone (336) 389-6464
Other practice location 1
2220 Copperstone Dr Apt 1F
High Point, NC 27265-8094
Phone (919) 332-2644
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356630909 | Medicaid | NC | |
| 182K5 | Other | NC | BCBS |
| 1356630909 | Other | NC | HUMANA |
| 1356630909 | Other | UBH/OPTUM | |
| 1356630909 | Other | CIGNA | |
| 600782-093 | Other | NC | MAGELLAN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS-20543 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| LCAS-3363 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| S8238 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1356630909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 ROBERT PORCHER WAY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102190",
"telephone_number": "336-389-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 ROBERT PORCHER WAY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102190",
"telephone_number": "919-332-2644"
}
],
"practiceLocations": [
{
"address_1": "2220 Copperstone Dr Apt 1F",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272658094",
"country_code": "US",
"telephone_number": "919-332-2644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABONTE",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "MA, LCMHCS, LCAS,CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-3363",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "S8238",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CCS-20543",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356630909",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "182K5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1356630909",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/OPTUM",
"identifier": "1356630909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1356630909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600782-093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.