Active NPI
Endeavor Counseling Group PLLC
- Community/Behavioral Health Agency
- Waxhaw, NC
National Provider Identifier
1588065718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 529
- Legal business name
- ENDEAVOR COUNSELING GROUP PLLC
- Practice address
- 400 N Broome St
Waxhaw, NC 28173-7032 - Phone
- (516) 551-4942
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristen Montagnino
- Title
- Manager
- Phone
- (516) 551-4942
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 529 | NC | Primary |
Addresses
Primary practice location
400 N Broome St
Waxhaw, NC 28173-7032
Mailing address
2104 Coral Berry LN
Waxhaw, NC 28173-8089
Phone (516) 551-4942
National Provider Directory
National Provider DirectoryLocations
400 N Broome St
Ste 302
Waxhaw, NC 28173
400 N Broome St
Waxhaw, NC 28173
Phone (516) 551-4942
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Waxhaw, NC
- NPI 1730474248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1588065718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CORAL BERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738089",
"telephone_number": "516-551-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BROOME ST",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737032",
"telephone_number": "516-551-4942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDEAVOR COUNSELING GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "MONTAGNINO",
"authorized_official_first_name": "CRISTEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-551-4942"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.