Individual provider Active NPI

Anu Parvathaneni, MASTER OF SCIENCE

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1467990143
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10876 Issued in NC
Practice address
208 E Bessemer Ave
Greensboro, NC 27401-6320
Phone
(336) 686-9891
NPI assigned
Feb 2, 2017
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A10876 NC Primary

Addresses

Primary practice location

208 E Bessemer Ave
Greensboro, NC 27401-6320

Mailing address

3125 Kathleen Ave
Suite 152
Greensboro, NC 27408-7819
Phone (336) 686-9891

Other names 1

  • Annapurna Parvathaneni Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002675 NC Practitioner - Mental Health Counselor 7810231461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10876NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Psychiatric and Counseling Center PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1467990143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 KATHLEEN AVE",
            "address_2": "SUITE 152",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087819",
            "telephone_number": "336-686-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016320",
            "telephone_number": "336-686-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVATHANENI",
        "first_name": "ANU",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAPURNA",
            "last_name": "PARVATHANENI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.