Organization Active NPI

Open Door Counseling

  • Mental Health Counselor
  • Mullins, SC
National Provider Identifier
1821553207
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN DOOR COUNSELING
Practice address
2709 Ceramic CT
Mullins, SC 29574-7259
Phone
(704) 713-2318
NPI assigned
Feb 9, 2019
Last updated
Feb 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

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

Authorized official

Name
Patricia DykesNPI 1487054029
Title
Ceo
Phone
(704) 713-2318

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2709 Ceramic CT
Mullins, SC 29574-7259

Mailing address

4822 Albemarle Rd # 223
Charlotte, NC 28205-6668

National Provider Directory

National Provider Directory

Locations

4822 Albemarle Rd
#223
Charlotte, NC 28205

Practitioners & affiliated clinicians

Practitioners 1

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": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549670400000",
    "number": "1821553207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD # 223",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 CERAMIC CT",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747259",
            "telephone_number": "704-713-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-713-2318"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; 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.