Active NPI
Fulgres, Inc.
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1851515563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- FULGRES, INC.
- Practice address
- 1945 J N Pease PL
Suite 204
Charlotte, NC 28262-4511 - Phone
- (704) 449-8907
- Fax
- (704) 414-8461
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tonya F. Greene, LPC
- Title
- President
- Phone
- (704) 449-8907
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1945 J N Pease PL
Suite 204
Charlotte, NC 28262-4511
Mailing address
PO Box 32602
Charlotte, NC 28232-2602
Phone (704) 449-8907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102488 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280102400000",
"number": "1851515563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32602",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322602",
"telephone_number": "704-449-8907",
"fax_number": "704-414-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 J N PEASE PL",
"address_2": "SUITE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624511",
"telephone_number": "704-449-8907",
"fax_number": "704-414-8461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULGRES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2010-07-26",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-449-8907",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102488",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.