Innovacion Counseling Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5209 Issued in NC

Legal business name

INNOVACION COUNSELING SERVICES, PLLC

Practice address

19900 S Main St Ste 4D
Cornelius, NC 28031-6513

Phone

(704) 506-5944

Fax

(704) 506-5944

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alex Rene Madrid, MA LPCNPI 1134222920

Title

Owner

Phone

(704) 506-5944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex R. Madrid, L.P.C.

  • Professional Counselor
  • Cornelius, NC
  • NPI 1134222920
  NPD (past) Authorized official

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1912322793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1791",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280361791",
            "telephone_number": "704-506-5944",
            "fax_number": "704-506-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 S MAIN ST STE 4D",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316513",
            "telephone_number": "704-506-5944",
            "fax_number": "704-506-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVACION COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-506-5944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.