Organization Active NPI

Full Potential Health and Wellness, Incorporated

  • Counselor
  • Chapel Hill, NC
National Provider Identifier
1871990291
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Leah Gibbons, MS, CHCNPI 1528465440
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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.