Organization Active NPI

Purpose Driven Passion Coaching & Consulting Agency

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1780335364
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PURPOSE DRIVEN PASSION COACHING & CONSULTING AGENCY
Practice address
111 Bain St Ste 315
Greensboro, NC 27406-1321
Phone
(336) 880-1864
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Sydnye Carroll, LCAS-A, LCMHC-A
Title
Ceo, Practioner,
Phone
(336) 880-1864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

111 Bain St Ste 315
Greensboro, NC 27406-1321

Mailing address

111 Bain St Ste 315
Greensboro, NC 27406-1321
Phone (336) 880-1864

National Provider Directory

National Provider Directory

Locations

111 Bain St
Ste 315
Greensboro, NC 27406
Phone (336) 880-1864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1780335364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BAIN ST STE 315",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061321",
            "telephone_number": "336-880-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BAIN ST STE 315",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061321",
            "telephone_number": "336-880-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN PASSION COACHING & CONSULTING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "SYDNYE",
        "authorized_official_title_or_position": "CEO, PRACTIONER,",
        "authorized_official_telephone_number": "336-880-1864",
        "authorized_official_credential": "LCAS-A, LCMHC-A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Oct 6, 2025; 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.