Active NPI
Aloysius Marvin Gainey, M.A.
- Professional Counselor
- Lillington, NC
National Provider Identifier
1811047640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5303
- Practice address
- 805 South Street
805 South Street
Lillington, NC 27546-1751 - Phone
- (910) 814-2147
- Fax
- (910) 814-2331
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5303 | NC | Primary |
Addresses
Primary practice location
805 South Street
805 South Street
Lillington, NC 27546-1751
Mailing address
PO Box 1751
805 South 8TH Street
Lillington, NC 27546-1751
Phone (910) 814-2147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103239 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811047640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1751",
"address_2": "805 SOUTH 8TH STREET",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275461751",
"telephone_number": "910-814-2147",
"fax_number": "910-814-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SOUTH STREET",
"address_2": "805 SOUTH STREET",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275461751",
"telephone_number": "910-814-2147",
"fax_number": "910-814-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINEY",
"first_name": "ALOYSIUS",
"middle_name": "MARVIN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103239",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.