NPIMap

Organization Active NPI

Uncg Nicholas a Vacc Counseling and Consulting Clinic

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1992254114
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
UNCG NICHOLAS A VACC COUNSELING AND CONSULTING CLINIC
Practice address
524 Highland Avenue
Greensboro, NC 27412-5018
Phone
(336) 334-5112
Fax
(336) 256-0121
NPI assigned
Sep 29, 2016
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dr. A. Keith Mobley, PHD, LPCS, ACS, NCC
Title
Clinical Professor/Clinic Director
Phone
(336) 334-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

524 Highland Avenue
Greensboro, NC 27412-5018

Mailing address

524 Highland Avenue
Greensboro, NC 27412-5018
Phone (336) 334-5112

Other names 1

  • UNCG Other name

National Provider Directory

National Provider Directory
Tax ID family
Uncg Psychology Clinic11 organizations share this tax ID, including this one
Part of
Uncg Psychology Clinic

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

524 Highland Ave
Greensboro, NC 27412
Phone (336) 334-5184

Practitioners & affiliated clinicians

Practitioners 4

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": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1992254114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HIGHLAND AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274125018",
            "telephone_number": "336-334-5112",
            "fax_number": "336-256-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 HIGHLAND AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274125018",
            "telephone_number": "336-334-5112",
            "fax_number": "336-256-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCG NICHOLAS A VACC COUNSELING AND CONSULTING CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CLINICAL PROFESSOR/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "336-334-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPCS, ACS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNCG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.