Active NPI
David Mabry, MA, LPC
- Professional Counselor
- Southport, NC
National Provider Identifier
1659402170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4776
- Practice address
- 801 N Howe St Ste 8
Southport, NC 28461-3351 - Phone
- (910) 620-4927
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4776 | NC | Primary |
Addresses
Primary practice location
801 N Howe St Ste 8
Southport, NC 28461-3351
Mailing address
421 Eastwood LN SE
Leland, NC 28451-8502
Phone (910) 620-4927
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4776 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659402170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 EASTWOOD LN SE",
"city": "LELAND",
"state": "NC",
"postal_code": "284518502",
"telephone_number": "910-620-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N HOWE ST STE 8",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613351",
"telephone_number": "910-620-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.