JOSEPH RENGIFO (NPI# 1952842007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952842007 |
| Entity Type | Individual |
| Full Name | JOSEPH RENGIFO |
| Credential | LPC, LCAS, CSI, CAMS |
| Practice Address |
3825 Market St Ste 6 Wilmington NC 28403-1426 |
| Practice Telephone | 9107775575 |
| Practice Fax Number | 9107775273 |
| Mailing Telephone | 9107775575 |
| Mailing Fax Number | 9107775273 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 12895 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-23186 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
12895 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
12895 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NPI | 1396206330 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Shipyard Blvd, Wilmington, NC 28412 | 9103430145 | 9102029966 |
| Street Address |
3825 MARKET ST STE 6 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010035 | Sara Scott Ford | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2020-07-13 |
| 1831750991 | Barbara Alaciel Navarro | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2019-06-27 |
| 1396206330 | Wilmington Mental Health, Pllc | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2019-03-30 |
| 1699296624 | Ashley Eldridge | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931051 | Mind Body & Sol Counseling and Consultation | Counselor | 831 N Tatnall St Ste M, Wilmington, DE 19801-1717 | 2020-10-30 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1518578798 | Joseph Anthony Cincotta | Counselor | 3411 Silverside Rd Ste 206, Wilmington, DE 19810-4806 | 2020-08-12 |
| 1336765791 | Synchronicity Counseling, LLC | Counselor | 506 Tyrone Ave, Wilmington, DE 19804-1939 | 2020-06-22 |
| 1871117911 | Marcia R. Winter | Counselor | 402 Foulk Rd Apt 2c8, Wilmington, DE 19803-5805 | 2020-06-04 |
| 1649804634 | Jacqueline R Kairis Counseling | Counselor | 3411 Silverside Rd Bldg Ste 109, Wilmington, DE 19810-4812 | 2020-02-27 |
| 1043856461 | Janice L Ward | Counselor | 2357 Patwynn Rd, Wilmington, DE 19810-2752 | 2019-11-20 |
| 1679045462 | Darlene Watkins | Counselor | 106 W 35th St Bldg 2, Wilmington, DE 19802-2707 | 2018-12-18 |
| 1447729876 | Charles Barden | Counselor | 7004 Hallstead Ct, Wilmington, NC 28411-1067 | 2018-11-14 |
| 1548746860 | Amber Potts | Counselor | 1608 Queen St Ste 1, Wilmington, NC 28401-5527 | 2018-07-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on JOSEPH RENGIFO.
| 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.