Organization Active NPI

Faith Counseling and Clinical Consultation Services, PLLC

  • Community/Behavioral Health Agency
  • Edenton, NC
National Provider Identifier
1407082886
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAITH COUNSELING AND CLINICAL CONSULTATION SERVICES, PLLC
Practice address
103 E King St
Edenton, NC 27932-1957
Phone
(252) 482-1770
NPI assigned
May 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Authorized official

Name
Miss Felicia Jane Cofield, LCSWNPI 1144383050
Title
Ceo
Phone
(252) 312-6670

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

103 E King St
Edenton, NC 27932-1957

Mailing address

PO Box 89
Edenton, NC 27932-0089
Phone (252) 482-1770

Other names 1

  • Faith Counseling and Clinical Consultation Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

103 E King St
Edenton, NC 27932
Phone (252) 482-1770

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": "1243641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243641600000",
    "number": "1407082886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320089",
            "telephone_number": "252-482-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E KING ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321957",
            "telephone_number": "252-482-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH COUNSELING AND CLINICAL CONSULTATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-30",
        "last_updated": "2009-05-30",
        "status": "A",
        "authorized_official_last_name": "COFIELD",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-312-6670",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Counseling and Clinical Consultation Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.