NC Christian Counselor

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

A10571 Issued in NC

Legal business name

NC CHRISTIAN COUNSELOR

Practice address

2031 W Club Blvd
Durham, NC 27705-3209

Phone

(919) 949-7701

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Aubrey Henry Jr., MDIV, MANPI 1801202296

Title

Lpca

Phone

(919) 949-7701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John A Henry Jr., MDIV MA

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1801202296
  NPD (past) Authorized official

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1649686221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 W CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053209",
            "telephone_number": "919-949-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 W CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053209",
            "telephone_number": "919-949-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC CHRISTIAN COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "LPCA",
        "authorized_official_telephone_number": "919-949-7701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MDIV, MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "A10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lilian Chika Ndianefo

• All providers in Durham, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.