Active NPI
Diane Kay Ellefritz, LPCA
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1740567940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A8580
- Practice address
- 315 E Washington St
Greensboro, NC 27401-2911 - Phone
- (336) 387-6161
- Fax
- (336) 387-9167
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A8580 | NC | Primary |
Addresses
Primary practice location
315 E Washington St
Greensboro, NC 27401-2911
Mailing address
902 Bonner Dr
Jamestown, NC 27282-8948
Phone (336) 889-6105
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
| License | State | Type | Specialty |
|---|---|---|---|
| A8580 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1740567940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 BONNER DR",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828948",
"telephone_number": "336-889-6105",
"fax_number": "336-387-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E WASHINGTON ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012911",
"telephone_number": "336-387-6161",
"fax_number": "336-387-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEFRITZ",
"first_name": "DIANE",
"middle_name": "KAY",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A8580",
"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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.