NPIMap

Organization Active NPI

Counseling Center

  • Community/Behavioral Health Agency
  • Cornelius, NC
National Provider Identifier
1790144277
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A9672 Issued in NC
Legal business name
COUNSELING CENTER
Practice address
17830 Statesville Rd
Cornelius, NC 28031-9173
Phone
(704) 604-9249
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Kimberly O Owen, MA, LPCA
Title
Licensed Professional Counselor Ass
Phone
(704) 604-9249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A9672 NC Primary

Addresses

Primary practice location

17830 Statesville Rd
Cornelius, NC 28031-9173

Mailing address

19116 Cypress Garden Dr
Davidson, NC 28036-8617

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1790144277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19116 CYPRESS GARDEN DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17830 STATESVILLE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319173",
            "telephone_number": "704-604-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR ASS",
        "authorized_official_telephone_number": "704-604-9249",
        "authorized_official_credential": "MA, LPCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "A9672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.