Individual provider Active NPI

Timothy Felipe Rainey, LPCA

  • Professional Counselor
  • Fuquay Varina, NC
National Provider Identifier
1497031900
Registry record updated Nov 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9069 Issued in NC
Practice address
1320 Balfour Downs Cir
Fuquay Varina, NC 27526-7763
Phone
(919) 457-7796
Fax
(919) 497-5407
NPI assigned
Oct 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2011

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 A9069 NC Primary

Addresses

Primary practice location

1320 Balfour Downs Cir
Fuquay Varina, NC 27526-7763

Mailing address

1320 Balfour Downs Cir
Fuquay Varina, NC 27526-7763
Phone (919) 457-7796

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A9069NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1497031900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BALFOUR DOWNS CIR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267763",
            "telephone_number": "919-457-7796",
            "fax_number": "919-457-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BALFOUR DOWNS CIR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267763",
            "telephone_number": "919-457-7796",
            "fax_number": "919-497-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "TIMOTHY",
        "middle_name": "FELIPE",
        "name_prefix": "Mr.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; 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.