NPIMap

Organization Active NPI

Fisher Park Counseling

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1659659431
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2124 Issued in NC
Legal business name
FISHER PARK COUNSELING
Practice address
208 E Bessemer Ave
Greensboro, NC 27401-6320
Phone
(336) 542-0276
Fax
(336) 272-1182
NPI assigned
Jul 28, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Sheryl N. Ketner, M.ED, LPC
Title
Owner
Phone
(336) 451-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2124 NC Primary

Addresses

Primary practice location

208 E Bessemer Ave
Greensboro, NC 27401-6320

Mailing address

208 E Bessemer Ave
Greensboro, NC 27401-6320
Phone (336) 542-0276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1659659431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016320",
            "telephone_number": "336-542-0276",
            "fax_number": "336-272-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016320",
            "telephone_number": "336-542-0276",
            "fax_number": "336-272-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER PARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "KETNER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-451-0822",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2124",
            "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 Jul 28, 2011; 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.