Individual provider Active NPI

Felicia W Redmon, MS,MDIV,D.MIN(C),BCC

  • Pastoral Counselor
  • Greensboro, NC
National Provider Identifier
1801050802
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
620 South Elm Street
Suite 364
Greensboro, NC 27400-1370
Phone
(336) 274-7094
Fax
(336) 274-2296
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NC
Mental Health Counselor 101YM0800X NC
Pastoral Counselor 101YP1600X NC Primary
School Counselor 101YS0200X 01-326091 VA
School Counselor 101YS0200X NC
Marriage & Family Therapist 106H00000X NC

Addresses

Primary practice location

620 South Elm Street
Suite 364
Greensboro, NC 27400-1370

Mailing address

8 Apsley CT
MC Leansville, NC 27301-9313
Phone (336) 274-7094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01-326091VAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1801050802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 APSLEY CT",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019313",
            "telephone_number": "336-274-7094",
            "fax_number": "336-274-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SOUTH ELM STREET",
            "address_2": "SUITE 364",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274001370",
            "telephone_number": "336-274-7094",
            "fax_number": "336-274-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "FELICIA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "MS,MDIV,D.MIN(C),BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "VA",
            "license": "01-326091",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 18, 2008; 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.