NPIMap

Organization Active NPI

Green Light Counseling Inc

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1376701979
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5149 Issued in NC
Legal business name
GREEN LIGHT COUNSELING INC
Practice address
415 N Edgeworth St
# 205
Greensboro, NC 27401-2071
Phone
(336) 335-0585
Fax
(336) 335-5710
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mr. Jason William Strack, LPCNPI 1902953912
Title
Ceo Owner
Phone
(336) 335-0585

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5149 NC Primary

Addresses

Primary practice location

415 N Edgeworth St
# 205
Greensboro, NC 27401-2071

Mailing address

PO Box 2141
Jamestown, NC 27282-8800
Phone (336) 335-0585

National Provider Directory

National Provider Directory

Locations

415 N Edgeworth St
Ste 205
Greensboro, NC 27401
Phone (336) 335-0585

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1376701979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2141",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828800",
            "telephone_number": "336-335-0585",
            "fax_number": "336-335-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N EDGEWORTH ST",
            "address_2": "# 205",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012071",
            "telephone_number": "336-335-0585",
            "fax_number": "336-335-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIGHT COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "STRACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "336-335-0585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.