John F. Kubiak, LMFT, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1156 Issued in NC

Legal business name

JOHN F. KUBIAK, LMFT, PLLC

Practice address

3206 Heritage Trade Dr
Suite 108-a
Wake Forest, NC 27587-4487

Phone

(919) 302-8297

Fax

(919) 803-1770

NPI assigned

May 5, 2009

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John F Kubiak, LMFTNPI 1043385347

Title

Provider/Owner

Phone

(919) 302-8297

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• John F Kubiak, LMFT

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1043385347
  NPD (past) Authorized official

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1841424918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SHADOW CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045891",
            "telephone_number": "919-302-8297",
            "fax_number": "919-803-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 HERITAGE TRADE DR",
            "address_2": "SUITE 108-A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874487",
            "telephone_number": "919-302-8297",
            "fax_number": "919-803-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. KUBIAK, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "KUBIAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "919-302-8297",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.