Individual provider Active NPI

Catherine Elizabeth Colardo, LCSW-A

  • Mental Health Counselor
  • Jacksonville, NC
National Provider Identifier
1437357837
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
165 Center St
2ND Floor
Jacksonville, NC 28546-5708
Phone
(910) 238-2744
Fax
(910) 333-0428
NPI assigned
Jul 6, 2007
Last updated
Apr 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

165 Center St
2ND Floor
Jacksonville, NC 28546-5708

Mailing address

165 Center St
2ND Floor
Jacksonville, NC 28546-5708
Phone (910) 238-2744

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1437357837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-238-2744",
            "fax_number": "910-333-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-238-2744",
            "fax_number": "910-333-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARDO",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.