Active NPI
Reconnect Couples Counseling LLC
- Mental Health Counselor
- Rolesville, NC
National Provider Identifier
1881290591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RECONNECT COUPLES COUNSELING LLC
- Practice address
- 714 Bann River CT
Rolesville, NC 27571-9721 - Phone
- (919) 649-6993
- NPI assigned
- Dec 8, 2020
- 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
- Redonno Carmon, LMFT
- Title
- Licensed Marriage&Family Therapist
- Phone
- (919) 649-6993
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
714 Bann River CT
Rolesville, NC 27571-9721
Mailing address
714 Bann River CT
Rolesville, NC 27571-9721
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": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1881290591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 BANN RIVER CT",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 BANN RIVER CT",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719721",
"telephone_number": "919-649-6993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECONNECT COUPLES COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "CARMON",
"authorized_official_first_name": "REDONNO",
"authorized_official_title_or_position": "LICENSED MARRIAGE&FAMILY THERAPIST",
"authorized_official_telephone_number": "919-649-6993",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.