Organization Active NPI

Premier Counseling

  • Community/Behavioral Health Agency
  • Rockingham, NC
National Provider Identifier
1396293957
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREMIER COUNSELING
Practice address
207 Carolyns Mill PL
Rockingham, NC 28379-7986
Phone
(585) 967-8396
Fax
(910) 491-9715
NPI assigned
Sep 13, 2016
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Tavares Antwan BosticNPI 1134545908
Title
President
Phone
(585) 967-8396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

207 Carolyns Mill PL
Rockingham, NC 28379-7986

Mailing address

207 Carolyns Mill PL
Rockingham, NC 28379-7986
Phone (585) 967-8396

National Provider Directory

National Provider Directory
Tax ID family
Premier Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1396293957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CAROLYNS MILL PL",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283797986",
            "telephone_number": "585-967-8396",
            "fax_number": "910-491-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CAROLYNS MILL PL",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283797986",
            "telephone_number": "585-967-8396",
            "fax_number": "910-491-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "TAVARES",
        "authorized_official_middle_name": "ANTWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-967-8396"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.