Active NPI
Christine Marie Enderlin Lcmhc, LCMHC
- Mental Health Counselor
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10369
- Practice address
- 2222 S College Rd
Wilmington, NC 28403-5545 - Phone
- (910) 798-6467
- Fax
- (910) 798-6411
- NPI assigned
- May 2, 2012
- Last updated
- Oct 30, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10369 | NC | Primary |
Addresses
Primary practice location
2222 S College Rd
Wilmington, NC 28403-5545
Mailing address
2222 S College Rd
Wilmington, NC 28403-5545
Phone (910) 798-6467
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123001369 | NC | Practitioner - Mental Health Counselor | 7416309794 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1650 Greenfield St
Wilmington, NC 28401-6456
2222 S College Rd
Wilmington, NC 28403-5545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10369 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover County | Current | Accepting new patients |
Locations
1650 Greenfield St
Wilmington, NC 28401
Phone (910) 798-3500
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.
-
dba New Hanover County Health Department
- State or Local Public Health Clinic/Center
- Wilmington, NC
- NPI 1902934292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1548528177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035545",
"telephone_number": "910-798-6467",
"fax_number": "910-798-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035545",
"telephone_number": "910-798-6467",
"fax_number": "910-798-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERLIN LCMHC",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.