NPIMap

Organization Active NPI

Presbyterian Counseling Center of Greensboro, Inc

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1831138296
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRESBYTERIAN COUNSELING CENTER OF GREENSBORO, INC
Practice address
3713 Richfield Rd
Greensboro, NC 27410-2111
Phone
(336) 288-1484
Fax
(336) 288-0738
NPI assigned
Jun 4, 2006
Reactivated
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mrs. Pamela H Tucker
Title
Financial Business Office Manager
Phone
(336) 288-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3713 Richfield Rd
Greensboro, NC 27410-2111

Mailing address

3713 Richfield Rd
Greensboro, NC 27410-2111
Phone (336) 288-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000964 NC Part B Supplier - Clinic/Group Practice 7911979331 Receives reassigned benefits from 8 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

3713 Richfield Rd
Greensboro, NC 27410
Phone (336) 288-1484

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1831138296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 RICHFIELD RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102111",
            "telephone_number": "336-288-1484",
            "fax_number": "336-288-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 RICHFIELD RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102111",
            "telephone_number": "336-288-1484",
            "fax_number": "336-288-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN COUNSELING CENTER OF GREENSBORO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-07-19",
        "deactivation_date": "2018-01-08",
        "reactivation_date": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FINANCIAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "336-288-1484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.