Individual provider Active NPI

Joyce Phyllis Nyirenda, LPC

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1588907414
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7670 Issued in NC
Practice address
219 A S. East Street
Aspire Supportive & Counseling Services, LLC
Raleigh, NC 27601-7220
Phone
(919) 835-1888
Fax
(919) 835-1889
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7670 NC
Pastoral Counselor 101YP1600X 7670 NC
Professional Counselor 101YP2500X 7670 NC Primary

Addresses

Primary practice location

219 A S. East Street
Aspire Supportive & Counseling Services, LLC
Raleigh, NC 27601-7220

Mailing address

11721 Coppergate Dr Unit 109
Raleigh, NC 27614-9598
Phone (919) 830-3435

Other identifiers 1

IdentifierTypeStateIssuer
1588907414MedicaidNC

Other names 1

  • Joyce Phyllis Chilongo Former name

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
7670NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JPN Consultants Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1588907414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 COPPERGATE DR UNIT 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149598",
            "telephone_number": "919-830-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 A S. EAST STREET",
            "address_2": "ASPIRE SUPPORTIVE & COUNSELING SERVICES, LLC",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276017220",
            "telephone_number": "919-835-1888",
            "fax_number": "919-835-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYIRENDA",
        "first_name": "JOYCE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7670",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "7670",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588907414",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "CHILONGO",
            "middle_name": "PHYLLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.