Organization Active NPI

Proven Progress Counseling and Trauma Treatment PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1598237687
Registry record updated Dec 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROVEN PROGRESS COUNSELING AND TRAUMA TREATMENT PLLC
Practice address
4601 Lake Boone TRL Ste 2D
Raleigh, NC 27607-7503
Phone
(919) 276-0626
Fax
(844) 355-2247
NPI assigned
Dec 30, 2018
Last updated
Dec 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2018

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

Authorized official

Name
Christine Duffy-Gill, LCSW
Title
Chief Executive Officer
Phone
(919) 276-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4601 Lake Boone TRL Ste 2D
Raleigh, NC 27607-7503

Mailing address

9650 Strickland Rd Ste 103-416
Raleigh, NC 27615-1902
Phone (919) 276-0626

National Provider Directory

National Provider Directory

Locations

4601 Lake Boone Trl
Ste 2D
Raleigh, NC 27607
Phone (734) 476-0255

9650 Strickland Rd
Ste 103416
Raleigh, NC 27615

9660 Falls of Neuse Rd
Ste 138218
Raleigh, NC 27615
Phone (919) 276-0626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546128000000",
    "number": "1598237687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD STE 103-416",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902",
            "telephone_number": "919-276-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-276-0626",
            "fax_number": "844-355-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVEN PROGRESS COUNSELING AND TRAUMA TREATMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-30",
        "last_updated": "2018-12-30",
        "status": "A",
        "authorized_official_last_name": "DUFFY-GILL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-276-0626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 30, 2018; 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.