Organization Active NPI

JLN Counseling, PLLC

  • Community/Behavioral Health Agency
  • Harrisburg, NC
National Provider Identifier
1932778792
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JLN COUNSELING, PLLC
Practice address
4351 Main St Ste 215
Harrisburg, NC 28075-7429
Phone
(843) 421-3032
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Nicole EllerbeNPI 1164949616
Title
Partner
Phone
(843) 421-3032

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4351 Main St Ste 215
Harrisburg, NC 28075-7429

Mailing address

4366 Coddle Creek Dr
Concord, NC 28027-8570
Phone (843) 421-3032

Other practice location 1

4366 Coddle Creek Dr
Concord, NC 28027-8570
Phone (843) 421-3032

National Provider Directory

National Provider Directory

Locations

4351 Main St
Ste 205
Harrisburg, NC 28075

4351 Main St
Ste 215
Harrisburg, NC 28075
Phone (704) 456-7078

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1932778792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 CODDLE CREEK DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278570",
            "telephone_number": "843-421-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MAIN ST STE 215",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757429",
            "telephone_number": "843-421-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4366 Coddle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280278570",
            "country_code": "US",
            "telephone_number": "843-421-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JLN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-421-3032"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.