Carrigan & Associates Counseling Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MHL097052 Issued in NC

Legal business name

CARRIGAN & ASSOCIATES COUNSELING INC

Doing business as

Main Street Station Psycho Social Rehabilitation

Practice address

403 East Main Street
Wilkesboro, NC 28697

Phone

(336) 903-8500

Fax

(336) 903-8505

NPI assigned

Dec 27, 2006

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Edmund Carrigan Jr., QUALIFED MENTAL HEAL

Title

Director Corporate President

Phone

(336) 903-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main Street Station Psycho Social Rehabilitation Doing business as

Tax ID family

Carrigan Associates Counseling Inc2 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.

• Carrigan & Associates Counseling, Inc.

  dba Main St. Station

  • Adult Mental Health Clinic/Center
  • Wilkesboro, NC
  • NPI 1013184738
  NPD tax ID

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1437214715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-903-8500",
            "fax_number": "336-903-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 EAST MAIN STREET",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-903-8500",
            "fax_number": "336-903-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIGAN & ASSOCIATES COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "CARRIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "DIRECTOR CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "336-903-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "QUALIFED MENTAL HEAL"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL097052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300830S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Station Psycho Social Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ethan Burgess, PT, DPT
• Jennifer Lynn Burgess, LMFT
• Kevin James Byrd, QP
• Zoee Amber Wood Byrd, LCMHC
• Jami Lynn Cantrell, LPC
• Carrigan & Associates Counseling, Inc. (Main St. Station)
• Heather L Casey, RD
• Catawba Chiropractic Corporation (Wilkesboro Chiropractic Clinic)
• Haylee Breanna Church, M.S., CCC-SLP
• Karson Anderson Church, OTR/L

• Adult Mental Health Clinic/Center in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.