NPIMap

Organization Active NPI

Greenwood Counseling Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mooresville, NC
National Provider Identifier
1730694928
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GREENWOOD COUNSELING CENTER, PLLC
Practice address
132 Joe Knox Ave Ste 100E
Mooresville, NC 28117-9203
Phone
(704) 360-3641
Fax
(704) 353-7944
NPI assigned
Dec 10, 2017
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Jackie Lane Kurtz, LPCNPI 1881065787
Title
Owner
Phone
(704) 682-0384

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

132 Joe Knox Ave Ste 100E
Mooresville, NC 28117-9203

Mailing address

132 Joe Knox Ave Ste 100E
Mooresville, NC 28117-9203
Phone (704) 360-3641

National Provider Directory

National Provider Directory

Locations

132 Joe Knox Ave
Ste 100E
Mooresville, NC 28117
Phone (704) 360-3641

378 Williamson Rd
Ste 207
Mooresville, NC 28117
Phone (704) 360-3641

Practitioners & affiliated clinicians

Practitioners 11

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": "1512864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1730694928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JOE KNOX AVE STE 100E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-360-3641",
            "fax_number": "704-353-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOE KNOX AVE STE 100E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-360-3641",
            "fax_number": "704-353-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-10",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-682-0384",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.