Organization Active NPI

Abdo Counseling and Consulting, PLLC

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1629688205
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ABDO COUNSELING AND CONSULTING, PLLC
Practice address
1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5162
Phone
(980) 224-6612
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Joann M Abdo, LCSWNPI 1407209661
Title
Lead Therapist
Phone
(980) 224-6612

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5162

Mailing address

1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5162
Phone (980) 224-6612

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abdocounseling@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1118 Sam Newell Rd
Ste D2
Matthews, NC 28105
Phone (517) 486-2686

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": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1629688205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SAM NEWELL RD STE D2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055162",
            "telephone_number": "980-224-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 SAM NEWELL RD STE D2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055162",
            "telephone_number": "980-224-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDO COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "980-224-6612",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abdocounseling@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1118 Sam Newell Rd Ste D2",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.