Organization Active NPI

Corban Group Inc

Doing business as Corban Counseling

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1376912949
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1585 Issued in NC
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

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Paul M Cherry, MA LMFTNPI 1891047759
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.