Individual provider Active NPI

Christopher Bernard Townsend, LPC, LCAS, CCS, NCC

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1619001732
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3723 Issued in NC
Practice address
913 Bluford St
Greensboro, NC 27411-3408
Phone
(336) 285-4940
Fax
(336) 256-2880
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3723 NC Primary

Addresses

Primary practice location

913 Bluford St
Greensboro, NC 27411-3408

Mailing address

514 Three Oaks Dr
High Point, NC 27265-2877
Phone (336) 688-6757

Other identifiers 1

IdentifierTypeStateIssuer
6102102MedicaidNC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3723NCMDPhysical Therapy Assistant
81267TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1619001732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 THREE OAKS DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652877",
            "telephone_number": "336-688-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BLUFORD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274113408",
            "telephone_number": "336-285-4940",
            "fax_number": "336-256-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "CHRISTOPHER",
        "middle_name": "BERNARD",
        "credential": "LPC, LCAS, CCS, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102102",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.