Individual provider Active NPI

Carolyn Louise Hoidal

  • Professional Counselor
  • Elizabeth City, NC
National Provider Identifier
1912251075
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9636 Issued in NC
Practice address
400 S Water St
Suite 202
Elizabeth City, NC 27909-4965
Phone
(252) 338-0098
Fax
(252) 335-1493
NPI assigned
Oct 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

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 A9636 NC Primary

Addresses

Primary practice location

400 S Water St
Suite 202
Elizabeth City, NC 27909-4965

Mailing address

400 S Water St
Suite 202
Elizabeth City, NC 27909-4965
Phone (252) 338-0098

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
A9636NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Psychological Innovations, PLLC Past Accepting new patients

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": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351382400000",
    "number": "1912251075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S WATER ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094965",
            "telephone_number": "252-338-0098",
            "fax_number": "252-335-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S WATER ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094965",
            "telephone_number": "252-338-0098",
            "fax_number": "252-335-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOIDAL",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.