Individual provider Active NPI

Paula Briedis, LPC

  • Professional Counselor
  • Jacksonville, NC
National Provider Identifier
1770780884
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13874 Issued in NC
Practice address
2734 Commerce Rd
Jacksonville, NC 28546-7511
Phone
(910) 799-1071
Fax
(910) 799-3313
NPI assigned
Jul 2, 2007
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13874 NC Primary

Addresses

Primary practice location

2734 Commerce Rd
Jacksonville, NC 28546-7511

Mailing address

2734 Commerce Rd
Jacksonville, NC 28546-7511
Phone (910) 799-1071

Other identifiers 1

IdentifierTypeStateIssuer
13874OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240413000203 NC Practitioner - Mental Health Counselor 1951740729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

2734 Commerce Rd
Jacksonville, NC 28546-7511
Phone (910) 799-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. Current Accepting new patients
Carenet Inc Professional CurrentSince Feb 10, 2024 Accepting new patients
Carenet, Inc. CurrentSince Feb 10, 2024 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

3219 Landmark St
Ste 9
Greenville, NC 27834

2734 Commerce Rd
Jacksonville, NC 28546
Phone (910) 799-1071

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1770780884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 COMMERCE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467511",
            "telephone_number": "910-799-1071",
            "fax_number": "910-799-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 COMMERCE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467511",
            "telephone_number": "910-799-1071",
            "fax_number": "910-799-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIEDIS",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13874",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.