NPIMap

Organization Active NPI

Aurora Family Counseling Center

  • Counseling Psychologist
  • Charlotte, NC
National Provider Identifier
1720122757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1655 Issued in NC
Legal business name
AURORA FAMILY COUNSELING CENTER
Practice address
7110 Brighton Park Dr
Suite 400 PMB 264
Charlotte, NC 28227-7987
Phone
(704) 545-4935
Fax
(910) 572-1768
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Joseph Bauduin
Title
Ceo
Phone
(704) 545-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 1655 NC Primary

Addresses

Primary practice location

7110 Brighton Park Dr
Suite 400 PMB 264
Charlotte, NC 28227-7987

Mailing address

7110 Brighton Park Dr
Suite 400 PMB 264
Charlotte, NC 28227-7987
Phone (704) 545-4935

National Provider Directory

National Provider Directory
Tax ID family
Aurora Family Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7110 Brighton Park Dr
Ste 400
Mint Hill, NC 28227
Phone (704) 965-0783

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720122757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 BRIGHTON PARK DR",
            "address_2": "SUITE 400 PMB 264",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277987",
            "telephone_number": "704-545-4935",
            "fax_number": "910-572-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 BRIGHTON PARK DR",
            "address_2": "SUITE 400 PMB 264",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277987",
            "telephone_number": "704-545-4935",
            "fax_number": "910-572-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUDUIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-545-4935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.