NPIMap

Organization Active NPI

Life Reflections Counseling PLLC

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1619417276
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10739 Issued in NC
Legal business name
LIFE REFLECTIONS COUNSELING PLLC
Practice address
104 Kronos LN
Cary, NC 27513-5339
Phone
(919) 371-6922
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Lisa CarboneNPI 1548699135
Title
Owner
Phone
(336) 978-5498

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 10739 NC Primary

Addresses

Primary practice location

104 Kronos LN
Cary, NC 27513-5339

Mailing address

104 Kronos LN
Cary, NC 27513-5339

National Provider Directory

National Provider Directory

Locations

1145 Executive Cir
Ste E
Cary, NC 27511
Phone (919) 371-6922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1619417276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KRONOS LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KRONOS LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135339",
            "telephone_number": "919-371-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REFLECTIONS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-978-5498"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.