Active NPI
Purpose Driven Passion Coaching & Consulting Agency
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1780335364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Greensboro, NC
- NPI 1588260137
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.