Organization Active NPI

Constant Elevation, LLC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1376932517
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONSTANT ELEVATION, LLC
Practice address
421 W 26TH St
Winston Salem, NC 27105-5016
Phone
(336) 437-4117
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Mr. Demarco Feliciano Odom
Title
Ceo
Phone
(336) 437-4117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

421 W 26TH St
Winston Salem, NC 27105-5016

Mailing address

421 W 26TH St
Winston Salem, NC 27105-5016
Phone (336) 437-4117

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1376932517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 26TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055016",
            "telephone_number": "336-437-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 26TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055016",
            "telephone_number": "336-437-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANT ELEVATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "DEMARCO",
        "authorized_official_middle_name": "FELICIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-437-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.