Organization Active NPI

Clement Counseling and Consulting, PLLC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1710787130
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEMENT COUNSELING AND CONSULTING, PLLC
Practice address
1451 S Elm Eugene St Ste 3227
Greensboro, NC 27406-2200
Phone
(239) 324-2837
NPI assigned
Mar 14, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Kervins ClementNPI 1336778497
Title
Owner
Phone
(239) 324-2837

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1451 S Elm Eugene St Ste 3227
Greensboro, NC 27406-2200

Mailing address

6212 Cadence Dr
Greensboro, NC 27455-8446
Phone (239) 324-2837

National Provider Directory

National Provider Directory

Locations

1451 S Elm Eugene St
Ste 3227
Greensboro, NC 27406
Phone (239) 324-2837

Practitioners & affiliated clinicians

Practitioners 1

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": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1710787130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 CADENCE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558446",
            "telephone_number": "239-324-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST STE 3227",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "239-324-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "KERVINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-324-2837"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Mar 14, 2025; 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.