NPIMap

Organization Active NPI

Pugh Counseling and Consulting Services, Inc.

Doing business as Pugh Counseling and Clonsulting Services, INC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1790071702
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3707 Issued in NC
Legal business name
PUGH COUNSELING AND CONSULTING SERVICES, INC.
Doing business as
Pugh Counseling and Clonsulting Services, INC
Practice address
4822 Albemarle Rd
Suite 100B
Charlotte, NC 28205-6668
Phone
(704) 451-5634
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. David Ellis Pugh, LPC, CRCNPI 1295939650
Title
President
Phone
(704) 451-5634

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
Professional Counselor 101YP2500X 3707 NC Primary

Addresses

Primary practice location

4822 Albemarle Rd
Suite 100B
Charlotte, NC 28205-6668

Mailing address

4822 Albemarle Rd
Suite 100B
Charlotte, NC 28205-6668
Phone (704) 451-5634

Other identifiers 1

IdentifierTypeStateIssuer
6102040MedicaidNC

Other names 1

  • Pugh Counseling and Clonsulting Services, INC Doing business as

National Provider Directory

National Provider Directory

Locations

4822 Albemarle Rd
Ste 100B
Charlotte, NC 28205
Phone (704) 451-5634

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1790071702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD",
            "address_2": "SUITE 100B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-451-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD",
            "address_2": "SUITE 100B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-451-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGH COUNSELING AND CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-451-5634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pugh Counseling and Clonsulting Services, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.