Organization Active NPI

Irenic Therapy PLLC

  • Community/Behavioral Health Agency
  • Reidsville, NC
National Provider Identifier
1700436532
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IRENIC THERAPY PLLC
Practice address
227 W Morehead St Ste 230
Reidsville, NC 27320-3872
Phone
(336) 908-3927
Fax
(336) 303-1535
NPI assigned
Sep 13, 2019
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Brianna Toomes, LMFTNPI 1225572910
Title
Executive Director
Phone
(336) 908-3927

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

227 W Morehead St Ste 230
Reidsville, NC 27320-3872

Mailing address

105 W Keeling Rd
Greensboro, NC 27410-5515
Phone (336) 430-6706

Other practice location 1

3723 W Market St Ste C
Greensboro, NC 27403-1375
Phone (336) 908-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119000688 NC Part B Supplier - Clinic/Group Practice 5294187803 Receives reassigned benefits from 3 practitioners
Practice locations: Greensboro, NC; Reidsville, NC

National Provider Directory

National Provider Directory

Locations

3723 W Market St
Ste C
Greensboro, NC 27403
Phone (336) 430-6706

227 W Morehead St
Ste 230
Reidsville, NC 27320
Phone (336) 908-3927

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1700436532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W KEELING RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105515",
            "telephone_number": "336-430-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W MOREHEAD ST STE 230",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203872",
            "telephone_number": "336-908-3927",
            "fax_number": "336-303-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3723 W Market St Ste C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031375",
            "country_code": "US",
            "telephone_number": "336-908-3927",
            "fax_number": "336-860-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRENIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "TOOMES",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-908-3927",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.