Individual provider Active NPI

Thomas Edward Christopher Fine, QP, MA, LPCA

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1386071033
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12275 Issued in NC
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

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
A12275NCMDProfessional 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.

Verify at the official NPI Registry.