NPIMap

Organization Active NPI

Cleveland Counseling, P.C.

  • Clinical Social Worker
  • Shelby, NC
National Provider Identifier
1811944903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004380 Issued in NC
Legal business name
CLEVELAND COUNSELING, P.C.
Practice address
927 S Lafayette St
Shelby, NC 28152-5851
Phone
(704) 481-8626
Fax
(704) 481-8507
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lydia Perrin Scruggs, LCSWNPI 1265489363
Title
President
Phone
(704) 481-8626

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C004380 NC Primary

Addresses

Primary practice location

927 S Lafayette St
Shelby, NC 28152-5851

Mailing address

PO Box 2465
Shelby, NC 28151-2465
Phone (704) 482-8626

Other identifiers 2

IdentifierTypeStateIssuer
6005220MedicaidNC
06GJOtherNCBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811944903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2465",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281512465",
            "telephone_number": "704-482-8626",
            "fax_number": "704-481-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281525851",
            "telephone_number": "704-481-8626",
            "fax_number": "704-481-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "PERRIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-481-8626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005220",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "06GJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.