NC CHRISTIAN COUNSELOR (NPI# 1649686221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649686221 |
| Entity Type | Organization |
| Organization Name | NC CHRISTIAN COUNSELOR |
| Practice Address |
2031 W Club Blvd Durham NC 27705-3209 |
| Practice Telephone | 9199497701 |
| Mailing Telephone | 9199497701 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | MR. JOHN AUBREY HENRY JR. (LPCA) |
| Authorized Official Telephone | 9199497701 |
| Authorized Official Credential | MDIV, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
A10571 | NC | Ambulatory Health Care Facilities |
| Street Address |
2031 W CLUB BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801202296 | John A Henry Jr. | Counselor | 2031 W Club Blvd, Durham, NC 27705-3209 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455991 | Buckeye Psychology Pllc | Clinic/Center | 1310 Fenwick Pkwy, Durham, NC 27713-5829 | 2020-10-26 |
| 1265072698 | Markovits Counseling, Pllc | Clinic/Center | 3622 Lyckan Pkwy Unit Unit5007, Durham, NC 27707-2564 | 2020-01-14 |
| 1649766221 | Pathways To Healing, Pllc | Clinic/Center | 3622 Lyckan Pkwy Ste 3008a, Durham, NC 27707-2566 | 2018-07-06 |
| 1871084475 | Potter Counseling & Consulting, Pllc | Clinic/Center | 1921 N Pointe Dr Ste 280, Durham, NC 27705-2672 | 2018-05-21 |
| 1629581137 | Linda A Guttman Psy D Pllc | Clinic/Center | 13 Jenkins Court, Suite 230a, Durham, NH 03824-2917 | 2017-11-07 |
| 1073042768 | Therapy Services for Families PC | Clinic/Center | 1502 W Nc Highway 54 Ste 505, Durham, NC 27707-5599 | 2017-06-07 |
| 1689815334 | Full Potential Behavioral Health Care, Inc. | Clinic/Center | 1530 N Gregson St Ste 3-d, Durham, NC 27701-1155 | 2009-03-10 |
| 1053595611 | Burke Facilities II, LLC | Clinic/Center | 4 Onyx Ct, Durham, NC 27703-2680 | 2007-12-19 |
| 1790803898 | El Futuro, Inc | Clinic/Center | 2020 Chapel Hill Rd., Suite 23, Durham, NC 27707 | 2007-03-27 |
| 1407964174 | Duke University | Clinic/Center | 402 Trent Dr, Durham, NC 27710-0001 | 2006-08-25 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.