Active NPI
Full Potential Health and Wellness, Incorporated
- Counselor
- Chapel Hill, NC
National Provider Identifier
1871990291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- FULL POTENTIAL HEALTH AND WELLNESS, INCORPORATED
- Practice address
- 120B Kingston Dr
Chapel Hill, NC 27514-1630 - Phone
- (941) 224-6256
- NPI assigned
- Dec 1, 2014
- 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
- Leah Gibbons, MS, CHC
- Title
- President, Certified Health Coach
- Phone
- (941) 224-6256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Health Educator | 174H00000X |
Addresses
Primary practice location
120B Kingston Dr
Chapel Hill, NC 27514-1630
Mailing address
PO Box 17102
Chapel Hill, NC 27516-7102
Phone (941) 224-6256
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417392000000",
"number": "1871990291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17102",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275167102",
"telephone_number": "941-224-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120B KINGSTON DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141630",
"telephone_number": "941-224-6256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL POTENTIAL HEALTH AND WELLNESS, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "PRESIDENT, CERTIFIED HEALTH COACH",
"authorized_official_telephone_number": "941-224-6256",
"authorized_official_credential": "MS, CHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.