The Authentic Process, PLLC

Key facts

NPI

1801466818

Entity type

Organization (NPI type 2)

Primary specialty

Professional Counselor 101YP2500X

Legal business name

THE AUTHENTIC PROCESS, PLLC

Practice address

8176 McClanahan Dr
Browns Summit, NC 27214-9812

Phone

(336) 340-5481

NPI assigned

Jun 30, 2021

Organization subpart

No

Authorized official

Name

Dorisa Parker, MS, LCMHC, LCAS NPI 1912482324

Title

Owner/Therapist

Phone

(336) 295-3497

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Dorisa Laverna Parker, LPC-A Professional Counselor · Greensboro, NC · NPI 1912482324
  NPD Authorized official PROFESSIONAL

National Provider Directory

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2021.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1801466818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 BANKING ST # 29563",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087222",
            "telephone_number": "336-295-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8176 MCCLANAHAN DR",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149812",
            "telephone_number": "336-340-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 W Cone Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274084057",
            "country_code": "US",
            "telephone_number": "336-295-3497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE AUTHENTIC PROCESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DORISA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "336-295-3497",
        "authorized_official_credential": "MS, LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.the.authentic.process@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8176 McClanahan Dr",
            "city": "Browns Summit",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272149812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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