NPIMap

Organization Active NPI

CN3

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1801678057
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CN3
Practice address
1670 Fallen Leaf LN # D
Wilmington, NC 28403-5594
Phone
(843) 496-4756
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Clyde Carson NanceNPI 1316436116
Title
Owner
Phone
(843) 496-4756

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1670 Fallen Leaf LN # D
Wilmington, NC 28403-5594

Mailing address

1670 Fallen Leaf LN # D
Wilmington, NC 28403-5594
Phone (843) 496-4756

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1801678057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 FALLEN LEAF LN # D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035594",
            "telephone_number": "843-496-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 FALLEN LEAF LN # D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035594",
            "telephone_number": "843-496-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CN3",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "CARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-496-4756"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.