Zephaniah Services PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ZEPHANIAH SERVICES PC

Practice address

3409 W Wendover Ave Ste E
Greensboro, NC 27407-1579

Phone

(336) 323-1385

Fax

(888) 959-2812

NPI assigned

Sep 19, 2012

Last updated

Jun 22, 2021By 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

Dr. Susie Ozetta Troxler, PHDNPI 1184627614

Title

Owner/Clinical Director

Phone

(336) 324-1610

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Zephaniah Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zephaniah Services PLLC

  • Community/Behavioral Health Agency
  • Spartanburg, SC
  • NPI 1134527849
  NPD tax ID

Locations

Practitioners 7

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.

• Susie Ozetta Troxler, PH.D.

  • Psychologist
  • Greensboro, NC
  • NPI 1184627614
  Medicare reassignment NPD Authorized official
• Sierra Baldwin

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1861267080
  NPD
• Craig Benton

  • School Social Worker
  • Greensboro, NC
  • NPI 1215311568
  NPD (past)
• Linda Bradley

  • Professional Counselor
  • Greensboro, NC
  • NPI 1255718672
  NPD (past)
• Tommi Alyse Pait, MS, LPCA, CRC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1821494873
  NPD (past)
• Aja Thomas, MS., LPC-A, NCC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1114339983
  NPD (past)
• Shakera Williams

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1285187005
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1356691182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41167",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274041167",
            "telephone_number": "336-323-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W WENDOVER AVE STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071579",
            "telephone_number": "336-323-1385",
            "fax_number": "888-959-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 W Wendover Ave",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274072377",
            "country_code": "US",
            "telephone_number": "336-323-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZEPHANIAH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "TROXLER",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "OZETTA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-324-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "2790",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2790",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2790",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C986",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008819",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison W Zelenak, PA-C
• Skylar Zelenko
• Michael F Zelson, PHD
• Zenith Providers
• Zenith Providers, LLC
• David W Zeyfang, PA-C
• Danielle Zheng
• Jacky Leonardo Zheng
• Michael Zheng, DO
• Mary Frances-Lucas Ziemba, PT

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.