Integral Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S3203 Issued in NC

Legal business name

INTEGRAL COUNSELING SERVICES, PLLC

Practice address

1920 Western TRL
Chapel Hill, NC 27516-5005

Phone

(919) 304-5754

NPI assigned

Oct 7, 2013

Last updated

Oct 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Miriam Lieberman, MA, LPCSNPI 1124072061

Title

Owner and Clinician

Phone

(919) 304-5754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miriam Lieberman, MA, LPCS Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Miriam E. Lieberman, MA, LPC

  • Mental Health Counselor
  • Chapel Hill, NC
  • NPI 1124072061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1740617695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WESTERN TRL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165005",
            "telephone_number": "919-304-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WESTERN TRL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165005",
            "telephone_number": "919-304-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER AND CLINICIAN",
        "authorized_official_telephone_number": "919-304-5754",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S3203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miriam Lieberman, MA, LPCS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.