Carolina Counseling and Life Coaching PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000253 Issued in NC

Legal business name

CAROLINA COUNSELING AND LIFE COACHING PLLC

Practice address

112 Swift Ave
Durham, NC 27705-4883

Phone

(919) 967-2632

Fax

(919) 929-7091

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Barbara A Gau, LCSWNPI 1689969842

Title

Owner

Phone

(919) 967-2632

Specialties & licenses 1

Addresses

Other names 1

• Barb Gau LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Ann Gau, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1689969842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1356721765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOXBORO CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167656",
            "telephone_number": "919-967-2632",
            "fax_number": "919-929-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SWIFT AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054883",
            "telephone_number": "919-967-2632",
            "fax_number": "919-929-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELING AND LIFE COACHING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "GAU",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-967-2632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barb Gau LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Birth and Wellness
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• Carolina Community Support Services, Inc.
• Carolina Community Support Services, Inc.
• Carolina Diagnostics Inc
• Carolina Diagnostics, Inc.
• Carolina ENT, PLLC
• Carolina Eye Clinic PLLC
• Carolina Foot Specialists

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.