Active NPI
Mathew Courtney Trueblood, BA QP
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1871935312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3 Centerview Dr
Suite 150
Greensboro, NC 27407 - Phone
- (336) 834-9664
- NPI assigned
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3 Centerview Dr
Suite 150
Greensboro, NC 27407
Mailing address
150 Centerview Dr
Suite 150
Greensboro, NC 27407
Phone (336) 834-9664
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1871935312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CENTERVIEW DR",
"address_2": "SUITE 150",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27407",
"telephone_number": "336-834-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CENTERVIEW DR",
"address_2": "SUITE 150",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27407",
"telephone_number": "336-834-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUEBLOOD",
"first_name": "MATHEW",
"middle_name": "COURTNEY",
"credential": "BA QP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_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 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.