Active NPI
Thomas Edward Christopher Fine, QP, MA, LPCA
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1386071033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12275
- Practice address
- 3900 Barrett Dr Ste 208
Raleigh, NC 27609-6614 - Phone
- (919) 907-0597
- Fax
- (919) 907-0597
- NPI assigned
- Sep 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12275 | NC | Primary |
Addresses
Primary practice location
3900 Barrett Dr Ste 208
Raleigh, NC 27609-6614
Mailing address
3000 Spanish CT
Raleigh, NC 27607-0054
Phone (336) 404-4039
Other practice location 1
4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859
Phone (919) 907-0597
Other practice location 2
1921 N Pointe Dr Ste 350
Durham, NC 27705-2688
Phone (919) 907-0597
Other names 1
- Chris Fine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12275 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1386071033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 SPANISH CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276070054",
"telephone_number": "336-404-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BARRETT DR STE 208",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096614",
"telephone_number": "919-907-0597",
"fax_number": "919-907-0597"
}
],
"practiceLocations": [
{
"address_1": "4000 Wake Forest Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096859",
"country_code": "US",
"telephone_number": "919-907-0597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1921 N Pointe Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277052688",
"country_code": "US",
"telephone_number": "919-907-0597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINE",
"first_name": "THOMAS",
"middle_name": "EDWARD CHRISTOPHER",
"credential": "QP, MA, LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-26",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "FINE",
"credential": "QP, MA, LPCA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.