Individual provider Active NPI

James Carroll Pittman III

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1861007759
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12242A Issued in NC
Practice address
8392 Six Forks Rd Ste 202
Raleigh, NC 27615-3061
Phone
(919) 628-9126
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12242A NC Primary

Addresses

Primary practice location

8392 Six Forks Rd Ste 202
Raleigh, NC 27615-3061

Mailing address

8392 Six Forks Rd Ste 202
Raleigh, NC 27615-3061
Phone (919) 628-9126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12242ANCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling and Consulting, PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2301 Stonehenge Dr
Ste 110
Raleigh, NC 27615
Phone (910) 262-0863

8392 Six Forks Rd
Ste 202
Raleigh, NC 27615
Phone (919) 830-6827

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1861007759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8392 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153061",
            "telephone_number": "919-628-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8392 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153061",
            "telephone_number": "919-628-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JAMES",
        "middle_name": "CARROLL",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.