Active NPI
Joyce Phyllis Nyirenda, LPC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1588907414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588907414 | Medicaid | NC |
Other names 1
- Joyce Phyllis Chilongo
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7670 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklinton, NC
- NPI 1942826987
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.