Individual provider Active NPI

Noel Sebastian Bost, PHD

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1790952901
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006014 Issued in NC
Practice address
3610 N Elm St Ste a
Suite 4
Greensboro, NC 27455-2698
Phone
(336) 674-9781
Fax
(336) 282-3430
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C006014 NC
Mental Health Counselor 101YM0800X C006014 NC
Clinical Social Worker 1041C0700X C006014 NC Primary

Addresses

Primary practice location

3610 N Elm St Ste a
Suite 4
Greensboro, NC 27455-2698

Mailing address

3908 Fox Grove TRL
Greensboro, NC 27406-9375
Phone (336) 674-2143

Other identifiers 2

IdentifierTypeStateIssuer
0904009132OtherVALCSW LICENSE NUMBER
C006014OtherNCLCSW

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
I20090911000653 NC Practitioner - Clinical Social Worker 7719032994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C006014NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amethyst Consulting & Treatment Solutions, PLLC Counselor CurrentSince Jul 2, 2012 Accepting new patients
Amethyst Consulting & Treatment Solutions, PLLC Counselor Past Accepting new patients
Amethyst Consulting & Treatment Solutions, PLLC Counselor Past Accepting new patients
Amethyst Consulting & Treatment Solutions, PLLC Past Accepting new patients

Locations

2706 Saint Jude St
Greensboro, NC 27405
Phone (336) 375-6990

801 Summit Ave
Ste 4
Greensboro, NC 27405
Phone (336) 674-9781

3610 N Elm St
Ste A
Greensboro, NC 27455
Phone (336) 271-2020

3610 N Elm St
Greensboro, NC 27455
Phone (336) 674-9781

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1790952901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 FOX GROVE TRL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069375",
            "telephone_number": "336-674-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N ELM ST STE A",
            "address_2": "SUITE 4",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552698",
            "telephone_number": "336-674-9781",
            "fax_number": "336-282-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOST",
        "first_name": "NOEL",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "C006014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C006014",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "0904009132",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C006014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.