Organization Active NPI

Three Birds Counseling & Clinical Supervision, PLLC

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1619426467
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S6986
Legal business name
THREE BIRDS COUNSELING & CLINICAL SUPERVISION, PLLC
Practice address
1050 Revolution Mill Dr
Studio 1C
Greensboro, NC 27405-5052
Phone
(336) 430-6694
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Maria Adele Brunelli ParedesNPI 1043445596
Title
Owner & Lead Therapist
Phone
(336) 430-6694

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 S6986 Primary

Addresses

Primary practice location

1050 Revolution Mill Dr
Studio 1C
Greensboro, NC 27405-5052

Mailing address

1050 Revolution Mill Dr
Studio 1C
Greensboro, NC 27405-5052
Phone (336) 430-6694

National Provider Directory

National Provider Directory

Locations

1050 Revolution Mill Dr
Ste 1C
Greensboro, NC 27405
Phone (336) 420-1960

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1619426467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 REVOLUTION MILL DR",
            "address_2": "STUDIO 1C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055052",
            "telephone_number": "336-430-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REVOLUTION MILL DR",
            "address_2": "STUDIO 1C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055052",
            "telephone_number": "336-430-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BIRDS COUNSELING & CLINICAL SUPERVISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ADELE BRUNELLI",
        "authorized_official_title_or_position": "OWNER & LEAD THERAPIST",
        "authorized_official_telephone_number": "336-430-6694"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "S6986",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 2016; 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.