Individual provider Active NPI

Gladys Wiles Lippard

  • Counselor
  • Taylorsville, NC
National Provider Identifier
1679756191
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NBCC 219190 Issued in NC
Practice address
123 N Center St
Taylorsville, NC 28681-2119
Phone
(828) 635-7371
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NBCC 219190 NC Primary
Mental Health Counselor 101YM0800X NBCC 219190

Addresses

Primary practice location

123 N Center St
Taylorsville, NC 28681-2119

Mailing address

141 Tarrington Dr
Statesville, NC 28625-2749
Phone (704) 876-0272

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

State licenses

LicenseStateTypeSpecialty
NBCC 219190NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1679756191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TARRINGTON DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252749",
            "telephone_number": "704-876-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N CENTER ST",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812119",
            "telephone_number": "828-635-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPARD",
        "first_name": "GLADYS",
        "middle_name": "WILES",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "NBCC 219190",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "NBCC 219190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.