NPIMap

Organization Active NPI

Shoals Family Therapy, P.C

Doing business as Greensboro Family Therapy

  • Marriage & Family Therapist
  • Greensboro, NC
National Provider Identifier
1801161401
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1734 Issued in NC
Legal business name
SHOALS FAMILY THERAPY, P.C
Doing business as
Greensboro Family Therapy
Practice address
2309 W Cone Blvd
Suite 202
Greensboro, NC 27408-4044
Phone
(336) 317-7157
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Drew Jamieson, PHD
Title
Owner
Phone
(336) 317-7157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1734 NC Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1807 NC

Addresses

Primary practice location

2309 W Cone Blvd
Suite 202
Greensboro, NC 27408-4044

Mailing address

2309 W Cone Blvd
Suite 202
Greensboro, NC 27408-4044
Phone (336) 317-7157

Other names 1

  • Greensboro Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2309 W Cone Blvd
Ste 202
Greensboro, NC 27408
Phone (336) 317-7157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1801161401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W CONE BLVD",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084044",
            "telephone_number": "336-317-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W CONE BLVD",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084044",
            "telephone_number": "336-317-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS FAMILY THERAPY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "JAMIESON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-317-7157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1734",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensboro Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2017; 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.