Organization Active NPI

Louise Mills-Dumonceaux

  • Community/Behavioral Health Agency
  • Clayton, NC
National Provider Identifier
1760662308
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C005754 Issued in NC
Legal business name
LOUISE MILLS-DUMONCEAUX
Practice address
105 N Church St
Clayton, NC 27520-2486
Phone
(919) 585-4589
Fax
(919) 585-4304
NPI assigned
Nov 12, 2007
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Ms. Louise M Mills-Dumonceaux, LCSWNPI 1023116639
Title
Therapist
Phone
(919) 585-4589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C005754 NC Primary

Addresses

Primary practice location

105 N Church St
Clayton, NC 27520-2486

Mailing address

61 Shelton CT
Clayton, NC 27527-4233
Phone (919) 585-4589

Other identifiers 1

IdentifierTypeStateIssuer
6106801MedicaidNC

Other names 1

  • Child & Family Counseling Services, PLLC Other name

National Provider Directory

National Provider Directory

Locations

105 N Church St
Clayton, NC 27520
Phone (919) 553-8046

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": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1760662308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SHELTON CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274233",
            "telephone_number": "919-585-4589",
            "fax_number": "919-585-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CHURCH ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202486",
            "telephone_number": "919-585-4589",
            "fax_number": "919-585-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE MILLS-DUMONCEAUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MILLS-DUMONCEAUX",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "919-585-4589",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106801",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child & Family Counseling Services, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.