NPIMap

Organization Active NPI

Shalom Ministries

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1447508056
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8639 Issued in NC
Legal business name
SHALOM MINISTRIES
Practice address
4535 Zachary St
Winston Salem, NC 27107-6445
Phone
(336) 785-1573
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Chad Cooke, PH.D., LPC
Title
Counselor
Phone
(336) 785-1573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 8639 NC Primary

Addresses

Primary practice location

4535 Zachary St
Winston Salem, NC 27107-6445

Mailing address

4535 Zachary St
Winston Salem, NC 27107-6445
Phone (336) 785-1573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1447508056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 ZACHARY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076445",
            "telephone_number": "336-785-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 ZACHARY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076445",
            "telephone_number": "336-785-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "336-785-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.