Active NPI
Celeste H. Nettles, MBS, MS, LPC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1508964966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5059
- Practice address
- 445 Dolley Madison Rd Ste B
Greensboro, NC 27410-5166 - Phone
- (336) 500-9983
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5059 | NC | Primary |
Addresses
Primary practice location
445 Dolley Madison Rd Ste B
Greensboro, NC 27410-5166
Mailing address
5315 Bennington Dr
Greensboro, NC 27410-3418
Phone (336) 500-9983
Other practice location 1
1821 Lendew Street
Greensboro, NC 27408
Phone (336) 288-9190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103048 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 26, 2024 through Jul 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Counseling Partners PLLC | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Greensboro, NC
- NPI 1770941833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508964966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 BENNINGTON DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274103418",
"telephone_number": "336-500-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 DOLLEY MADISON RD STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105166",
"telephone_number": "336-500-9983"
}
],
"practiceLocations": [
{
"address_1": "1821 Lendew Street",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "27408",
"country_code": "US",
"telephone_number": "336-288-9190",
"fax_number": "336-450-4318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETTLES",
"first_name": "CELESTE",
"middle_name": "H.",
"credential": "MBS, MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103048",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.