Individual provider Active NPI

Erin Cooley-Gross

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1912304098
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11045 Issued in NC
Practice address
1079 Foxhaven Dr
Greensboro, NC 27455-8442
Phone
(561) 735-2675
NPI assigned
Dec 4, 2014
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11045 NC Primary

Addresses

Primary practice location

1079 Foxhaven Dr
Greensboro, NC 27455-8442

Mailing address

1079 Foxhaven Dr
Greensboro, NC 27455-8442
Phone (561) 735-2675

Other names 1

  • Erin Cooley-Gross Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003167 NC Practitioner - Mental Health Counselor 2466898606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Holistic Healing PCGroup PAC ID 7911922141, 9 clinicians

Practice addresses (Care Compare)

3929 Tinsley Dr
Suite 104
High Point, NC 27265-1531
Phone (336) 841-4307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11045NCMDMental Health Counselor
11045NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Healing PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3929 Tinsley Dr
Ste 104
High Point, NC 27265
Phone (336) 841-3226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1912304098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 FOXHAVEN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558442",
            "telephone_number": "561-735-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 FOXHAVEN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558442",
            "telephone_number": "561-735-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY-GROSS",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "COOLEY-GROSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.