Active NPI
Corban Group Inc
Doing business as Corban Counseling
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1376912949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1585
- Legal business name
- CORBAN GROUP INC
- Doing business as
- Corban Counseling
- Practice address
- 11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803 - Phone
- (704) 560-8706
- Fax
- (919) 746-7490
- NPI assigned
- Sep 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M Cherry, MA LMFT
- Title
- President
- Phone
- (704) 560-8709
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1585 | NC | Primary |
Addresses
Primary practice location
11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803
Mailing address
11503 Sir Francis Drake Dr
Charlotte, NC 28277-5803
Phone (704) 560-8706
Other names 1
- Corban Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1891047759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1376912949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11503 SIR FRANCIS DRAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775803",
"telephone_number": "704-560-8706",
"fax_number": "919-746-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11503 SIR FRANCIS DRAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775803",
"telephone_number": "704-560-8706",
"fax_number": "919-746-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORBAN GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "CHERRY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-560-8709",
"authorized_official_credential": "MA LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corban Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.