Organization Active NPI

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  • School Counselor
  • Lumberton, NC
National Provider Identifier
1972913358
Registry record updated May 6, 2014
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Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
PGP-0640442 Issued in VA
Legal business name
ADD FLAVOUR
Practice address
1710 Michigan Cir
Lumberton, NC 28358-7129
Phone
(540) 416-9235
NPI assigned
May 6, 2014
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Debra Rogers
Title
Case Manager
Phone
(540) 416-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X PGP-0640442 VA Primary

Addresses

Primary practice location

1710 Michigan Cir
Lumberton, NC 28358-7129

Mailing address

1710 Michigan Cir
Lumberton, NC 28358-7129
Phone (540) 416-9235

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1972913358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MICHIGAN CIR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587129",
            "telephone_number": "540-416-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MICHIGAN CIR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587129",
            "telephone_number": "540-416-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD FLAVOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "540-416-9235"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "VA",
            "license": "PGP-0640442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

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